Individual
DR. TY CHARLES WESTENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7127 196TH ST SW, SUITE 101, LYNNWOOD, WA 98036-5078
(425) 775-6986
(425) 774-3651
Mailing address
7127 196TH ST SW, SUITE 101, LYNNWOOD, WA 98036-5078
(425) 775-6986
(425) 774-3651
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001933
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB04137
MEDICARE GROUP
—
01
—
R75544
REGENCE
—
Enumeration date
05/03/2006
Last updated
01/21/2009
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