Organization
PERFORMANCE SPORT & SPINR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH R GREENWADE D.C. (CHIROPRACTIC PHYSICIAN)
(425) 429-4178
Entity
Organization
Contact information
Practice address
6135 284TH WAY NE, CARNATION, WA 98014-9517
(425) 429-4178
Mailing address
6135 284TH WAY NE, CARNATION, WA 98014-9517
(425) 429-4178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60331091
WA
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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