Individual
DR. PHILLIP M. PADELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
609 39TH AVE SW, PUYALLUP, WA 98373-5917
(253) 848-6626
(253) 848-6937
Mailing address
PO BOX 73575, PUYALLUP, WA 98373-0575
(253) 848-6626
(253) 848-6937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30383
LABOR & INDUSTRY ID #
WA
Enumeration date
11/10/2006
Last updated
06/18/2014
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