Organization
PREMIER CHIROPRACTIC 4 PLLC
Active
Parent organization
PREMIER CHIROPRACTIC & MASSAGE, PLLC
Other names
Pacific Village Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER CHIROPRACTIC & MASSAGE, PLLC
Authorized official
MRS. LILLY HANSEN (OFFICE MANAGER)
(425) 614-4000
Entity
Organization
Contact information
Practice address
1299 156TH AVE NE STE 123, BELLEVUE, WA 98007-7562
(425) 614-4000
(425) 641-0880
Mailing address
1299 156TH AVE NE STE 123, BELLEVUE, WA 98007-7562
(425) 614-4000
(425) 641-0880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034325
WA
225700000X
Massage Therapist
MA00013538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602211018
UBI #
WA
Enumeration date
08/16/2007
Last updated
05/06/2009
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