Revive Chiropractic and Wellness Center PLLC
NPI 1104650316 · Chiropractor · Camas, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Chiropractic and Wellness Center PLLC is a Chiropractor organization in Camas, WA (NPI 1104650316).
Provider details
- NPI number
- 1104650316
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Vader, Chiropractor(360) 953-3567
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Revive Chiropractic and Wellness
- Doing business as
- Revive Chiropractic and Wellness
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Revive Chiropractic and Wellness Center PLLC's NPI number?
- Revive Chiropractic and Wellness Center PLLC's National Provider Identifier (NPI) is 1104650316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Chiropractic and Wellness Center PLLC?
- Revive Chiropractic and Wellness Center PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Revive Chiropractic and Wellness Center PLLC located?
- Revive Chiropractic and Wellness Center PLLC's practice location on file with NPPES is 6923 Nw Friberg Strunk St Ste 135, Camas, WA 98607-7796.
- What is Revive Chiropractic and Wellness Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Chiropractic and Wellness Center PLLC is (360) 953-3567.
- Does Revive Chiropractic and Wellness Center PLLC accept Medicare?
- Revive Chiropractic and Wellness Center PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revive Chiropractic and Wellness Center PLLC?
- The authorized official listed on Revive Chiropractic and Wellness Center PLLC's NPPES record is Elizabeth Vader, Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Chiropractic and Wellness Center PLLC's NPI active?
- Yes — Revive Chiropractic and Wellness Center PLLC's NPI (1104650316) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.