Individual
DR. JOHN ANTHONY MISHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1950 POTTERY AVE., SUITE #5, PORT ORCHARD, WA 98366
(360) 876-6096
(360) 876-6096
Mailing address
1950 POTTERY AVE., SUITE #5, PORT ORCHARD, WA 98366
(360) 876-6096
(360) 876-6096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205258
L&I
WA
Enumeration date
09/13/2006
Last updated
06/06/2008
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