Organization
BLUE STONE CHIROPRACTIC PS
Active
Other names
Blue Stone Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M TRAVERS DC (PRESIDENT)
(425) 822-1859
Entity
Organization
Contact information
Practice address
620 KIRKLAND WAY, SUITE 105, KIRKLAND, WA 98033-6021
(425) 822-1859
(425) 822-2920
Mailing address
620 KIRKLAND WAY, STE 105, KIRKLAND, WA 98033-6021
(425) 822-1859
(425) 822-2920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH34314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195357
L&I
WA
Enumeration date
08/29/2006
Last updated
10/26/2007
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