Organization
BRENT A LINSE PS
Active
Parent organization
BRENT A LINSE PS
Other names
Canyon Chiropractic Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENT A LINSE PS
Authorized official
BRENT A LINSE DC (OWNER/CHIROPRACTOR)
(253) 537-8181
Entity
Organization
Contact information
Practice address
5216 72ND ST E, TACOMA, WA 98443-2722
(253) 537-8181
Mailing address
PO BOX 146, PUYALLUP, WA 98371-0015
(253) 732-7224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155799
REGENCE ID
WA
Enumeration date
09/10/2021
Last updated
11/11/2021
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