Organization
MICHAEL BOURBONNAIS PS
Active
Other names
Fremont Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D BOURBONNAIS DC (OWNER)
(206) 634-1300
Entity
Organization
Contact information
Practice address
3514 FREMONT AVE N, SEATTLE, WA 98103-8814
(206) 634-1300
(206) 547-2525
Mailing address
3514 FREMONT AVE N, SEATTLE, WA 98103-8814
(206) 634-1300
(206) 547-2525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003244
WA
111N00000X
Chiropractor
CH00034044
WA
111N00000X
Chiropractor
CH60197011
WA
172M00000X
Mechanotherapist
MA00012837
WA
172M00000X
Mechanotherapist
MA00019319
WA
172M00000X
Mechanotherapist
MA00023264
WA
172M00000X
Mechanotherapist
MA60102515
WA
172M00000X
Mechanotherapist
MA60159887
WA
Other
Enumeration date
10/14/2011
Last updated
05/21/2012
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