Individual
TANNER LEE UNDERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WALL ST, SEATTLE, WA 98121-1423
(651) 247-0524
Mailing address
100 WALL ST, SEATTLE, WA 98121-1423
(651) 247-0524
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60594266
WA
Other
Enumeration date
11/02/2015
Last updated
01/06/2016
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