Organization
REDMOND BACK AND NECK PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON T WAGENER DEWOLF D.C. (OWNER)
(425) 885-9950
Entity
Organization
Contact information
Practice address
16440 NE 85TH ST, REDMOND, WA 98052-3613
(425) 885-9950
(425) 895-9766
Mailing address
16440 NE 85TH ST, REDMOND, WA 98052-3613
(425) 885-9950
(425) 895-9766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001859
WA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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