Individual
DR. JASON LYNN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
72 E SUNSET WAY, ISSAQUAH, WA 98027-3813
(479) 790-7909
Mailing address
72 E SUNSET WAY, ISSAQUAH, WA 98027-3813
(479) 790-7909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60274742
WA
111NN1001X
Nutrition Chiropractor
CH60274742
WA
Other
Enumeration date
04/02/2012
Last updated
04/03/2014
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