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RAINIER VALLEY CHIROPRACTIC PS NPI 1043235807


NPI Information

NPI: 1043235807
Provider Name: RAINIER VALLEY CHIROPRACTIC PS
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 50D2265969

Address:
4236 36TH AVE S
SEATTLE, WA
ZIP 98118
Phone: (206) 723-2820
Get Directions

RAINIER VALLEY CHIROPRACTIC PS is a chiropractor in Seattle, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. RAINIER VALLEY CHIROPRACTIC PS NPI is 1043235807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4236 36TH AVE S
SEATTLE, WA
ZIP 98118-312
Phone: (206) 723-2820
Fax: (206) 722-3664

The provider's authorized official is David Allen Butters .
The authorized official title is President and has the following contact phone number (206) 723-2820.

The CLIA number assigned to this NPI record is 50D2265969 - comp. outpatient rehab facility with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2006 and was last updated on 10/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH00000980WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AB15879MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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