Healthcare Provider Details

I. General information

NPI: 1467258517
Provider Name (Legal Business Name): NICOLE VALIO DC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12420 NW 36TH AVE
VANCOUVER WA
98685-2225
US

IV. Provider business mailing address

12420 NW 36TH AVE
VANCOUVER WA
98685-2225
US

V. Phone/Fax

Practice location:
  • Phone: 369-450-1331
  • Fax: 866-337-0219
Mailing address:
  • Phone: 369-450-1331
  • Fax: 866-337-0219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLE LEE VALIO SNOW
Title or Position: OWNER
Credential: DC
Phone: 360-450-1331