Individual
DR. CHARLES THOMAS DEWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19740 7TH AVE NE # 9, POULSBO, WA 98370-7571
(360) 710-6779
(360) 779-7060
Mailing address
19740 7TH AVE NE # 9, POULSBO, WA 98370-7571
(360) 779-7800
(360) 779-7060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177736
LABOR & INDUSTRIES
WA
Enumeration date
10/02/2006
Last updated
04/27/2022
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