Individual
DR. LEW C ESTABROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13030 121ST WAY NE, SUITE 102, KIRKLAND, WA 98034-7210
(425) 814-2800
(425) 823-0882
Mailing address
13030 121ST WAY NE, SUITE 102, KIRKLAND, WA 98034-7210
(425) 814-2800
(425) 823-0882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001963
WA
111NS0005X
Sports Physician Chiropractor
CH00001963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004151
LABOR & INDUSTRIES
WA
05
—
2004943
—
WA
01
—
350015397
RAILROAD MEDICARE
—
01
—
ES2561
REGENCE BLUE SHIELD
—
Enumeration date
08/24/2005
Last updated
02/19/2018
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