MEDICARE: DR. DEBORAH STARR D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	1815	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25787	OTHER	WA	LABOR & INDUSTRIES

General Provider Information

NPI Number	:	1346333069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH STARR D.C.

Provider Business Mailing Address
First Line	:	802 W GARFIELD ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-3278
Country	:	US
Telephone Number	:	206-282-9208
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 W GARFIELD ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-3278
Country	:	US
Telephone Number	:	206-282-9208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/09/2007

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