MEDICARE: WHIPLASH AND INJURY CLINIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH60353852	WA

General Provider Information

NPI Number	:	1780074062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHIPLASH AND INJURY CLINIC PLLC

Provider Business Mailing Address
First Line	:	PO BOX 748
Second Line	:
City	:	LYNDEN
State	:	WA
Zip	:	98264-0748
Country	:	US
Telephone Number	:	360-201-3355
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 E SUNSET DR
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-5635
Country	:	US
Telephone Number	:	360-318-9928
Fax Number	:	360-583-9651

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SASHA JAN BLASKOVICH
Credential	:	B.SC., D.C.
Telephone Number	:	360-201-3355

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	01/15/2026

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