Individual
JERRY THOMAS WEIDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5429 RUSSELL AVE NW STE 300, SEATTLE, WA 98107-4010
(206) 783-6000
(206) 783-6006
Mailing address
5429 RUSSELL AVE NW STE 300, SEATTLE, WA 98107-4010
(206) 783-6000
(206) 783-6006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003210
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020592
—
WA
Enumeration date
10/18/2006
Last updated
02/08/2023
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