Individual
DAVIN L HAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
24005 MAPLE VALLEY HIGHWAY SE, MAPLE VALLEY, WA 98038-8232
(425) 432-2273
(425) 432-2468
Mailing address
24005 MAPLE VALLEY HIGHWAY SE, MAPLE VALLEY, WA 98038-8232
(425) 432-2273
(425) 432-2468
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00002391
WA
111NR0400X
Rehabilitation Chiropractor
CH00002391
WA
111NS0005X
Sports Physician Chiropractor
Primary
CH00002391
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131643
BLUE CROSS
WA
01
—
54553
LABOR AND INDUSTRIES
WA
Enumeration date
03/05/2007
Last updated
11/28/2007
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