Organization
NORTHWEST FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LYNN HOLMES D.C. (DOCTOR OF CHIROPRACTIC)
(253) 848-6603
Entity
Organization
Contact information
Practice address
17615 85TH AVENUE CT E, PUYALLUP, WA 98375-1859
(253) 848-6603
(253) 445-9430
Mailing address
17615 85TH AVENUE CT E, PUYALLUP, WA 98375-1859
(253) 848-6603
(253) 445-9430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2705
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2705
WA CHIRO LICENSE
WA
01
—
350050140
RAILROAD MEDICARE
WA
01
—
601879408
WA UBI#
WA
01
—
H04731
REGENCE
WA
01
—
LNI
LNI PROVIDER #
WA
Enumeration date
01/23/2007
Last updated
05/07/2018
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