Organization
INTEGRATIVE INJURY CLINIC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHAN (OWNER)
(206) 736-6686
Entity
Organization
Contact information
Practice address
900 S JACKSON ST STE 115, SEATTLE, WA 98104-3056
(206) 736-6686
Mailing address
PO BOX 14136, SEATTLE, WA 98114-0136
(206) 736-6686
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604-219-756
DEPARTMENT OF LICENSING
WA
Enumeration date
04/03/2018
Last updated
06/03/2021
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