Individual
DR. MICHAEL SHANE MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3611 WOODLAND PARK AVE N, SEATTLE, WA 98103-7905
(206) 826-1005
(206) 826-1289
Mailing address
3611 WOODLAND PARK AVE N, SEATTLE, WA 98103-7905
(206) 826-1005
(206) 826-1289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH00033810
STATE LICENSE #
WA
Enumeration date
11/20/2006
Last updated
07/08/2007
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