Provider Demographics
NPI:1861715211
Name:SANDROW, ALEX BRIAN (DC)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:BRIAN
Last Name:SANDROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16703 SE MCGILLIVRAY BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-4300
Mailing Address - Country:US
Mailing Address - Phone:360-883-2450
Mailing Address - Fax:866-935-1910
Practice Address - Street 1:16703 SE MCGILLIVRAY BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-4300
Practice Address - Country:US
Practice Address - Phone:360-883-2450
Practice Address - Fax:866-935-1910
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3991111N00000X
WACH 60189008111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor