Organization
OLYMPIA CHIROPRACTIC CENTER PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER WILLIAM ROYAL DC (PRESIDENT)
(360) 943-8250
Entity
Organization
Contact information
Practice address
2716 PACIFIC AVE SE, SUITE A, OLYMPIA, WA 98501-8804
(360) 943-8250
(360) 943-0473
Mailing address
2716 PACIFIC AVE SE, SUITE A, OLYMPIA, WA 98501-8804
(360) 943-8250
(360) 943-0473
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60176120
WA
261QM2500X
Medical Specialty Clinic/Center
CH1277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019423001
GROUP HEALTH
WA
01
—
22563
LABOR AND INDUSTRIES
WA
Enumeration date
01/17/2012
Last updated
05/12/2015
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