Organization
MILL CREEK CHIROPRACTIC CLINIC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LAWRENCE GILBERTSON , D.C. (PRESIDENT)
(425) 745-4430
Entity
Organization
Contact information
Practice address
16212 BOTHELL EVERETT HWY, SUITE E, MILL CREEK, WA 98012-1235
(425) 745-4430
(425) 745-3572
Mailing address
16212 BOTHELL EVERETT HWY, SUITE E, MILL CREEK, WA 98012-1235
(425) 745-4430
(425) 745-3572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25059
LABOR & INDUSTRIES
WA
01
—
R70357
REGENCE INSURANCE COMPANY
WA
Enumeration date
01/17/2007
Last updated
10/06/2007
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