Dr Derek Loren Cardenas, DC | |
1100 Ne 47th St Ste 101, Seattle, WA 98105-4685 | |
(206) 527-0123 | |
(206) 527-0133 |
Full Name | Dr Derek Loren Cardenas |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1100 Ne 47th St Ste 101, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255838223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60646142 (Washington) | Primary |
Provider Name | Scr Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447296819 PECOS PAC ID: 9335104413 Enrollment ID: O20041130001143 |
Provider Name | Dech |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295422368 PECOS PAC ID: 3577922988 Enrollment ID: O20230703001819 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Loren Cardenas, DC 14030 25th Ave Ne, Seattle, WA 98125-3412 Ph: (509) 851-8592 | Dr Derek Loren Cardenas, DC 1100 Ne 47th St Ste 101, Seattle, WA 98105-4685 Ph: (206) 527-0123 |
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