Individual
SHANE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1100 NE 47TH ST STE 101, SEATTLE, WA 98105-4685
(206) 527-0123
Mailing address
1100 NE 47TH ST STE 101, SEATTLE, WA 98105-4685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60628407
WA
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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