Healthcare Provider Details

I. General information

NPI: 1053329417
Provider Name (Legal Business Name): ROBERT ALLEN ROREX D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 CAMANO AVE
LANGLEY WA
98260-9577
US

IV. Provider business mailing address

PO BOX 200
LANGLEY WA
98260-0200
US

V. Phone/Fax

Practice location:
  • Phone: 360-221-3060
  • Fax: 360-221-8303
Mailing address:
  • Phone: 360-221-3060
  • Fax: 360-221-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00001760
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: