Individual
MR. JEFFERY LG WALDDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
22833 BOTHELL - EVERETT HWY, STE. 144, BOTHELL, WA 98021-9372
(425) 483-8525
(928) 223-1540
Mailing address
22833 BOTHELL - EVERETT HWY STE. 144, BOTHELL, WA 98021
(425) 483-8525
(928) 223-1540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003254
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215199
L & I
WA
01
—
7895 WA
BC / BS
WA
Enumeration date
11/20/2006
Last updated
08/08/2008
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