Organization
MARK S. JYRINGI, DC, PS
Active
Other names
Roosevelt Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M STUCK DC (OWNER)
(206) 547-4427
Entity
Organization
Contact information
Practice address
5029 ROOSEVELT WAY NE, #101A, SEATTLE, WA 98105-3600
(206) 547-4427
(206) 547-3587
Mailing address
5029 ROOSEVELT WAY NE, #101A, SEATTLE, WA 98105-3600
(206) 547-4427
(206) 547-3587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060139
LABOR & INDUSTRIES
WA
01
—
JY5775
REGENCE BLUE SHIELD
WA
01
—
U61570
UPIN
WA
Enumeration date
05/01/2007
Last updated
09/22/2023
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