Organization
DEWILDE CHIROPRACTIC INC
Active
Other names
Liberty Bay Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MACEDO DR. (OWNER)
(360) 779-7800
Entity
Organization
Contact information
Practice address
19660 10TH AVE NE STE B, POULSBO, WA 98370-6579
(360) 779-7800
(360) 779-7060
Mailing address
19660 10TH AVE NE STE B, POULSBO, WA 98370-6579
(360) 779-7800
(360) 779-7060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188295
LABOR AND INDUSTRIES
WA
Enumeration date
08/10/2007
Last updated
06/09/2025
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