Individual
MR. MARK LEE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(425) 745-2988
Mailing address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(425) 745-2988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105379
L&I PROVIDER
WA
01
—
BARMA3122660382
MSC GROUP
WA
Enumeration date
07/12/2006
Last updated
07/08/2007
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