Organization
TREE OF LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JOHAN MOE D.C. (CO-OWNER)
(253) 576-3730
Entity
Organization
Contact information
Practice address
16563 REDMOND WAY, SUITE D, REDMOND, WA 98052-4464
(253) 576-3730
Mailing address
16563 REDMOND WAY, SUITE D, REDMOND, WA 98052-4464
(253) 576-3730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659611432
PROVIDER EIN
WA
Enumeration date
03/06/2013
Last updated
06/21/2013
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