Individual
SCOTT RUSSELL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
111 E MAIN ST.REET, EVERSON, WA 98247
(360) 966-2700
(360) 966-2701
Mailing address
PO BOX 520, EVERSON, WA 98247-0520
(360) 966-2700
(360) 966-2701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195
DEPT OF LABOR & INDUSRIES
WA
05
—
2002442
—
WA
Enumeration date
02/12/2007
Last updated
07/08/2007
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