Organization
LAKE STEVENS CHIROPRACTIC, PLLC
Active
Other names
Lake Stevens Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HANSON DC (OWNER)
(425) 334-5066
Entity
Organization
Contact information
Practice address
905 STATE ROUTE 9 NE, LAKE STEVENS, WA 98258-9484
(425) 334-5066
(425) 335-4787
Mailing address
905 SR 9 NE, LAKE STEVENS, WA 98258-9484
(425) 334-5066
(425) 335-4787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00000734
WA
111N00000X
Chiropractor
CH00001249
WA
111N00000X
Chiropractor
CH0002638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291162
DEPT. OF LABOR & INDUSTRIES
WA
01
—
0353640
DEPT. OF LABOR & INDUSTRIES
WA
01
—
11170071
CAQH
WA
01
—
12014
LABOR & INDUSTRIES
WA
01
—
12346880
CAQH
WA
01
—
13819800
CAQH
WA
05
—
2016458
—
WA
05
—
2026931
—
WA
05
—
2319903
—
WA
01
—
8864765
MEDICARE DR GADDIS
WA
Enumeration date
02/07/2007
Last updated
05/15/2023
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