Hanson Chiropractic | |
11314 4th Ave W, Ste 103, Everett, WA 98204-6926 | |
(425) 355-3739 | |
(425) 514-8353 |
Full Name | Hanson Chiropractic |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 11314 4th Ave W, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225252216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | WA2723 (Washington) | Primary |
225700000X | Massage Therapist | MA00015073 (Washington) | Primary |
Provider Name | Peter J Hanson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356495303 PECOS PAC ID: 1759374572 Enrollment ID: I20040712000592 |
Provider Name | Michael J Ilyankoff |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942224944 PECOS PAC ID: 1759384613 Enrollment ID: I20060814000446 |
Provider Name | Ryan O Woodbury |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992801922 PECOS PAC ID: 2769580661 Enrollment ID: I20070530000503 |
Provider Name | Ryan L Doerge |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811182066 PECOS PAC ID: 8527153592 Enrollment ID: I20071005000219 |
Provider Name | Sterling P Glines |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1295140614 PECOS PAC ID: 6305065673 Enrollment ID: I20140918001291 |
Mailing Address | Practice Location Address |
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Hanson Chiropractic 11314 4th Ave W, Ste 103, Everett, WA 98204-6926 Ph: (425) 355-3739 | Hanson Chiropractic 11314 4th Ave W, Ste 103, Everett, WA 98204-6926 Ph: (425) 355-3739 |