Individual
TYLER JAMES ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
301 CROFT AVE, GOLD BAR, WA 98251
(360) 793-0904
(360) 799-0923
Mailing address
PO BOX 175, GOLD BAR, WA 98251-0175
(360) 793-0904
(360) 799-0923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167260
DEPT. OF L&I
WA
01
—
4234AL
REGENCE BLUE SHIELD
WA
Enumeration date
08/10/2006
Last updated
08/09/2018
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