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Organization

RAYMOND CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VIRGINIA SELBY (BILLING ASSOCIATE)
(253) 474-0677
Entity
Organization

Contact information

Practice address
1702 S 72ND ST STE A, TACOMA, WA 98408-1238
(253) 474-0677
(253) 474-3540
Mailing address
1702 S 72ND ST STE A, TACOMA, WA 98408-1238
(253) 474-0677
(253) 474-3540

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002175
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032023
LABOR AND INDUSTRIES
WA
01
RA3981
REGENCE
Enumeration date
02/13/2018
Last updated
02/13/2018
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