Healthcare Provider Details

I. General information

NPI: 1073233011
Provider Name (Legal Business Name): VIOLET ARRAS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 SE 164TH AVE STE 101
VANCOUVER WA
98684-9297
US

IV. Provider business mailing address

605 SE 164TH AVE STE 101
VANCOUVER WA
98684-9297
US

V. Phone/Fax

Practice location:
  • Phone: 360-567-1205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH61290708
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: