Individual
DR. DANA RYAN MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
284 CENTRAL WAY, KIRKLAND, WA 98033-6104
(425) 605-8508
(425) 605-1288
Mailing address
284 CENTRAL WAY, KIRKLAND, WA 98033-6104
(425) 605-8508
(425) 605-1288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034504
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214522
L & I PROVIDER ACCOUNT #
WA
01
—
AB02625
GROUP PIN
WA
Enumeration date
12/07/2006
Last updated
11/03/2008
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