Organization
BOULOM CHIROPRACTIC PS INC
Active
Other names
ESSENTIAL CHIROWELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SKY BOULOM DC (PRESIDENT)
(425) 773-8553
Entity
Organization
Contact information
Practice address
15608 18TH PL W, LYNNWOOD, WA 98087-8800
(425) 773-8553
(206) 202-1575
Mailing address
15608 18TH PL W, LYNNWOOD, WA 98087-8800
(425) 773-8553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003526
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252664
LABOR & INDUSTRIES
WA
Enumeration date
10/08/2009
Last updated
01/23/2018
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