Organization
NON-SURGICAL SPINE CARE CENTER
Active
Other names
Non-surgical spine care center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE KYUNG CHANG D.C. (CLINIC DIRECTOR)
(808) 393-4365
Entity
Organization
Contact information
Practice address
1240 116TH AVE NE # 101, BELLEVUE, WA 98004-3815
(425) 455-3472
Mailing address
1240 116TH AVE NE # 101, BELLEVUE, WA 98004-3815
(425) 455-3472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034775
WA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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