Provider Demographics
NPI:1700557220
Name:VASILAKIS LAWS, CHLOE CHRISTELL (DC)
Entity type:Individual
Prefix:
First Name:CHLOE CHRISTELL
Middle Name:
Last Name:VASILAKIS LAWS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NEHALEM AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-5615
Mailing Address - Country:US
Mailing Address - Phone:303-521-1569
Mailing Address - Fax:
Practice Address - Street 1:3990 ABBEY LN # 102-B
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-2237
Practice Address - Country:US
Practice Address - Phone:303-521-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6176111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor