Mill Creek Spine And Injury, INC., P.S.
Chiropractor in Lake Stevens, WA. Organization (NPI-2).
NPI number1982124046
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982124046
- Entity type
- Organization (NPI-2)
- Legal business name
- Mill Creek Spine And Injury, INC., P.S.
- Organization subpart
- No
- Enumeration date
- Jun 21, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
1112 76th Ave NeLake Stevens, WA 98258-3201
Phone 425-344-6835
Mailing address
1112 76th Ave NeLake Stevens, WA 98258-3201
Phone 425-344-6835
Authorized official
Ryan L Doerge
Owner
4252809980
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