Organization
ROCHESTER WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WALKER D.C. (OWNER)
(360) 273-2225
Entity
Organization
Contact information
Practice address
10139 HIGHWAY 12 SW, ROCHESTER, WA 98579-8621
(360) 273-2225
(360) 273-0202
Mailing address
PO BOX 14027, TUMWATER, WA 98511-4027
(360) 273-2225
(360) 273-0202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831260553
NPI
—
01
—
7526WA
REGENCE
WA
Enumeration date
07/01/2009
Last updated
07/01/2009
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