Healthcare Provider Details

I. General information

NPI: 1114065729
Provider Name (Legal Business Name): JANELL S CHANDLER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15525 NE CAPLES RD STE 100
BRUSH PRAIRIE WA
98606
US

IV. Provider business mailing address

15525 NE CAPLES RD STE 100
BRUSH PRAIRIE WA
98606
US

V. Phone/Fax

Practice location:
  • Phone: 360-606-2502
  • Fax: 360-944-1800
Mailing address:
  • Phone: 360-606-2502
  • Fax: 360-944-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number27 3542
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034459
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: