Individual
MITCHELL L. RAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
25012 104TH AVE SE, STE E, KENT, WA 98030-2821
(253) 854-1233
(253) 854-1297
Mailing address
25012 104TH AVE SE, STE E, KENT, WA 98030-2821
(253) 854-1233
(253) 854-1297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188454
L & I PROVIDER NUMBER
WA
01
—
3690368
AETNA PROVIDER NUMBER
WA
01
—
5735386
FIRST HEALTH NETWORK
WA
01
—
666521
UNITED HEALTHPLAN
WA
01
—
6777251
CIGNA PROVIDER NUMBER
WA
Enumeration date
12/21/2006
Last updated
04/23/2014
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