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Individual
JAIME ALFREDO MEDINA
Active
Individual
JAIME ALFREDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6011
OR
111N00000X
Chiropractor
Primary
CH60888143
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH60888143
STATE LICENSE
WA
Enumeration date
09/07/2018
Last updated
03/05/2026
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