Individual
DR. GORDON GEORGE DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
23009 56TH AVE W, SUITE B, MOUNTLAKE TERRACE, WA 98043-4713
(425) 248-2174
(425) 248-2175
Mailing address
23009 56TH AVE W, SUITE B, MOUNTLAKE TERRACE, WA 98043-4713
(425) 248-2174
(425) 248-2175
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052405
—
WA
Enumeration date
02/05/2007
Last updated
07/08/2009
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