Individual
DR. SAMUEL JOHN LOOSLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19201 108TH AVE SE STE 101, RENTON, WA 98055-7379
(253) 859-6441
(253) 859-9437
Mailing address
19201 108TH AVE SE STE 101, RENTON, WA 98055-7379
(253) 859-6441
(253) 859-9437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60203954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH60203954
STATE OF WASHINGTON
WA
Enumeration date
02/04/2011
Last updated
02/04/2011
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