Individual
MISS RIELLE HARA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1409 5TH AVENUE, SEATTLE, WA 98101
(206) 624-3590
Mailing address
400 WALL ST APARTMENT 606, SEATTLE, WA 98121
(425) 359-8645
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA 60582644
WA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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