Organization
SKY CHIROPRACTIC BELLEVUE PS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SKY BOULOM DC (OWNER)
(425) 773-8553
Entity
Organization
Contact information
Practice address
12505 BEL RED RD STE 107, BELLEVUE, WA 98005-2510
(425) 773-8553
Mailing address
15608 18TH PL W, LYNNWOOD, WA 98087-8800
(425) 773-8553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003526
WA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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