Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Chiropractic Clinic, PLLC

Organization Chiropractor · NPI 1184757981

Country Chiropractic Clinic, PLLC provides Chiropractor services in Mount Vernon, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22790 Buchanan St
Mount Vernon, WA 98273-8023 Not confirmed with CMS for 18 years — call before visiting
Phone: (360) 856-5562
Fax: (360) 856-4923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1315 (WA)

Record details

NPI number1184757981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avery Martin — Owner · (360) 856-5562
NPI enumeratedMarch 13, 2007
Last updated in NPPESMay 22, 2008
Mailing addressPo Box 508, Clearlake, WA 98235-0508

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