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Individual

DR. IAN R CONGDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10212 5TH AVE NE STE 120, SEATTLE, WA 98125-7471
(206) 641-7707
(206) 641-7709
Mailing address
10212 5TH AVE NE STE 120, SEATTLE, WA 98125-7471
(206) 641-7707
(206) 641-7709

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60115439
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH60115439
STATE DEPARTMENT OF LICENSING
WA
Enumeration date
10/13/2009
Last updated
03/17/2018
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