Individual
DR. SCOTT ALEXANDER MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
249 MAIN AVE. S., SUITE B, NORTH BEND, WA 98045
(425) 888-4170
Mailing address
PO BOX 1056, NORTH BEND, WA 98045-1056
(425) 888-4170
(425) 888-6431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016434
—
WA
01
—
35212
WA L & I
WA
01
—
MA0481
REGENCE
WA
Enumeration date
03/08/2007
Last updated
07/08/2007
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