VICTORY SPINE AND SPORT
NPI 1780285510
Clinic/Center in Vancouver, WA

Active since November 06, 2020
16508 SE 24TH ST STE 203, VANCOUVER, WA 98683(360) 818-4626(360) 208-0293 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2021, Nov 6, 2020 (2 updates tracked since 2020).

About Victory Spine And Sport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY SPINE AND SPORT (NPI 1780285510) is a healthcare organization registered as a clinic/center in Vancouver, Washington and active in the NPI registry since November 2020. The organization lists Dustin Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1780285510
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVICTORY SPINE AND SPORT PLLC
Location Address16508 SE 24TH ST STE 203Vancouver, WA 98683-4321
Mailing Address16508 Se 24th St Ste 203Vancouver, WA 98683-4321 · (360) 818-4626 · Fax (360) 208-0293
Fax(360) 208-0293
Organization SubpartNo
Authorized OfficialDustin HenryOwner · (360) 818-4626
Enumeration DateNovember 6, 2020
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
NPI 1780285510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
16508 SE 24TH ST STE 203, Vancouver, WA 98683

Other Names 1

Doing Business AsVictory Spine And Sport

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
16508 SE 24TH ST STE 203
VANCOUVER, WA 98683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Spine And Sport PLLC's NPI number?

The NPI number for Victory Spine And Sport PLLC is 1780285510. It was assigned to this organization in the NPPES registry on November 6, 2020. The provider is doing business as Victory Spine And Sport.

Where is Victory Spine And Sport PLLC located?

Victory Spine And Sport PLLC is located at 16508 SE 24th St Ste 203, Vancouver, WA 98683. The listed phone number is (360) 818-4626.

What is Victory Spine And Sport PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Victory Spine And Sport PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Victory Spine And Sport PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victory Spine And Sport PLLC was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.