NPI 1083063960

Wells Chiropractic

Organisation Exclusive Provider Organization Renton, WA

Practice location

Address: 819 S 3rd St, Renton, WA 98057-2737
Phone: (425) 687-2707

Authorised official

Name: Annie Wang
Title: Office Manager
Phone: (425) 941-0558

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence MA60306414 (WA)

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Registry record

NPI: 1083063960
Entity type: Organization
NPI issued: 10 Jun 2016
Record last updated: 10 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.