Individual
DR. CHAD ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
18234 SARGENT ROAD SW, ROCHESTER, WA 98579
(360) 273-9174
Mailing address
PO BOX 954, ROCHESTER, WA 98579-0954
(360) 273-9174
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002643
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78145
LABOR AND INDUSTRIES
WA
Enumeration date
05/07/2007
Last updated
07/08/2007
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