Organization
ODEGARD CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON EDWARD ODEGARD D.C. (OWNER DOCTOR)
(425) 827-4646
Entity
Organization
Contact information
Practice address
433 STATE ST, SUITE 3, KIRKLAND, WA 98033-6615
(425) 827-4646
(425) 827-1941
Mailing address
433 STATE ST., SUITE 3, KIRKLAND, WA 98033
(425) 827-4646
(425) 827-1941
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1558
WA
Other
Enumeration date
02/11/2008
Last updated
04/22/2008
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