Organization
MIDDENDORF CHIROPRACTIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBEKAH ROSE LEWIS (OFFICE MANAGER)
(360) 871-5200
Entity
Organization
Contact information
Practice address
4255 SE MILE HILL DR, # 101, PORT ORCHARD, WA 98366-3920
(360) 871-5200
(360) 871-5350
Mailing address
PO BOX 525, PORT ORCHARD, WA 98366-0525
(360) 871-5200
(360) 817-5350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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