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Individual

DR. GORDON L DICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
9123 ROOSEVELT WAY NE, SEATTLE, WA 98115-2839
(206) 522-9500
(206) 525-7434
Mailing address
9123 ROOSEVELT WAY NE, SEATTLE, WA 98115-2839
(206) 522-9500
(206) 525-7434

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0001434
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001434
STATE LICENSE #
WA
01
16993
DEPT OF LABOR AND INDUSTR
WA
Enumeration date
08/14/2006
Last updated
07/08/2007
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