Organization
EVIDENCE BASED HEALTHCARE, PLLC
Active
Other names
Align Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN J FAVREAU DC (PRESIDENT)
(206) 397-3457
Entity
Organization
Contact information
Practice address
910 LENORA ST, SUITE 160, SEATTLE, WA 98121-2754
(206) 397-3457
Mailing address
910 LENORA ST, SUITE 160, SEATTLE, WA 98121-2754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034786
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8870884
PTAN
WA
Enumeration date
09/23/2011
Last updated
09/23/2011
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