Organization
M JAY CAMPBELL D C P S
Active
Other names
Parkside Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JAY CAMPBELL DC (PRESIDENT)
(425) 776-8787
Entity
Organization
Contact information
Practice address
19125 33RD AVE W STE D, LYNNWOOD, WA 98036-4735
(425) 776-8787
(425) 776-1349
Mailing address
19125 33RD AVE W STE D, LYNNWOOD, WA 98036-4735
(425) 776-8787
(425) 776-1349
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58889
LABOR & INDUSTRIES
WA
Enumeration date
03/14/2007
Last updated
08/24/2022
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