Individual
DR. JARED LANE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8611 N DIVISION ST STE A, SPOKANE, WA 99208-5946
(509) 599-2766
Mailing address
3009 W DALTON AVE, SPOKANE, WA 99205-2220
(509) 599-2766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH60542353
WA
111NR0400X
Rehabilitation Chiropractor
Primary
CH60542353
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
CH60542353
WA
Other
Enumeration date
10/09/2012
Last updated
11/21/2024
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