Organization · NPI-2
360 Chiropractic Ps
Health Maintenance Organization · Lacey, WA
NPI number1053596650
StatusActive
Last updated in NPPESMar 23, 2020
Details
- NPI
- 1053596650
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Chiropractic Ps
- Organization subpart
- No
- Enumeration date
- Jan 2, 2008
- Certification date
- Mar 23, 2020
- Last updated
- Mar 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 602760406 | WA | Yes |
Practice location
5101 Lacey Blvd SeLacey, WA 98503-2441
Phone 360-923-0360 · Fax 360-923-1360
Mailing address
Po Box 8310Lacey, WA 98509-8310
Phone 360-923-0360 · Fax 360-923-1360
Authorized official
Stefanie Marie Olar
President
3609230360
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