Individual
DARA L HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1717 13TH ST STE 401, EVERETT, WA 98201-1621
(425) 261-4910
(425) 261-4957
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101011645
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP61044108
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OP61044108
WA
Other
Enumeration date
04/21/2006
Last updated
03/06/2024
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