Individual
DR. NATHANIEL J SWAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
33712 SE 43RD ST, FALL CITY, WA 98024
(425) 222-5125
(425) 222-9558
Mailing address
PO BOX 1237, FALL CITY, WA 98024
(425) 222-5125
(425) 222-9558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113458
DEPT LABOR AND INDUSTRIES
WA
Enumeration date
10/13/2006
Last updated
07/08/2007
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