Organization
CANYON CROSSING CHIROPRACTIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB BROWN D.C (OWNER)
(847) 208-0973
Entity
Organization
Contact information
Practice address
5610 176TH ST E, D105, PUYALLUP, WA 98375-9305
(847) 208-0973
Mailing address
5610 176TH ST E, D105, PUYALLUP, WA 98375-9305
(847) 208-0973
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CH 60520744
WA
Other
Enumeration date
09/30/2015
Last updated
05/13/2019
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