Organization
EAGLE HARBOR HEALTH & CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK WILLIAM PETHERAM D.C. (OWNER)
(206) 842-2702
Entity
Organization
Contact information
Practice address
2405 EVERGREEN PARK DR SW STE B1, OLYMPIA, WA 98502-6000
(206) 842-2690
Mailing address
3212 RED FERN DR NW, OLYMPIA, WA 98502-3224
(206) 842-2690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003554
WA
Other
Enumeration date
01/12/2012
Last updated
07/11/2025
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