Whalio Doctors

NPI 1497933600

Odegard Chiropractic Clinic

Organisation Health Maintenance Organization Kirkland, WA

Practice location

Address
433 State St Suite 3, Kirkland, WA 98033-6615
Phone
(425) 827-4646
Fax
(425) 827-1941
Mailing address
433 State St. Suite 3, Kirkland, WA 98033

Authorised official

Name
Carson Edward Odegard
Title
Owner Doctor
Phone
(425) 827-4646

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 1558 (WA)

Registry record

NPI
1497933600
Entity type
Organization
NPI issued
11 Feb 2008
Record last updated
22 Apr 2008

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.