Healthcare Provider Details

I. General information

NPI: 1275573693
Provider Name (Legal Business Name): TRISTA L DARLING DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 NE 6TH AVE
CAMAS WA
98607-2033
US

IV. Provider business mailing address

327 NE 5TH AVE
CAMAS WA
98607-2030
US

V. Phone/Fax

Practice location:
  • Phone: 360-834-5126
  • Fax: 360-834-5126
Mailing address:
  • Phone: 360-834-5126
  • Fax: 360-838-1582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034505
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: