Organization
BELLEVUE WELLNESS GROUP, PS
Active
Other names
Bellevue Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMON KOONER DC (OWNER)
(425) 455-2225
Entity
Organization
Contact information
Practice address
10655 NE 4TH ST, 101, BELLEVUE, WA 98004-5035
(425) 455-2225
(425) 454-7767
Mailing address
10655 NE 4TH ST, 101, BELLEVUE, WA 98004-5035
(425) 455-2225
(425) 454-7767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034656
WA
171100000X
Acupuncturist
AC60201869
WA
175F00000X
Naturopath
NT60218348
WA
207R00000X
Internal Medicine Physician
MD00044383
WA
225700000X
Massage Therapist
—
—
363AM0700X
Medical Physician Assistant
TA60061061
WA
Other
Enumeration date
05/03/2007
Last updated
10/24/2011
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