Organization
ALLIED CHIROPRACTIC PAIN & INJURY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILYNN NICKLIN-GRISWOLD (BILLING MANAGER)
(360) 434-3009
Entity
Organization
Contact information
Practice address
804 CALLAHAN DR # B, BREMERTON, WA 98310-3307
(360) 373-5400
(360) 373-5401
Mailing address
PO BOX 11810, BAINBRIDGE ISLAND, WA 98110-5810
(360) 434-3009
(360) 895-5380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170690
L&I PIN
WA
01
—
3714AF
REGENCE PIN
WA
Enumeration date
01/24/2007
Last updated
08/22/2020
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