Organization
AUSTIN D. MCMILLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN DAVID MCMILLIN DC (PRESIDENT)
(253) 564-1288
Entity
Organization
Contact information
Practice address
1922 64TH AVE W, TACOMA, WA 98466-6203
(253) 564-1288
Mailing address
1922 64TH AVE W, TACOMA, WA 98466-6203
(253) 564-1288
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH00002338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66947
LABOR AND INDUSTRIES
WA
01
—
MC2186
REGENCE BLUESHIELD
WA
Enumeration date
05/01/2007
Last updated
08/22/2020
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