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NPI Code Detail

MEDICARE: AMBER WOODS D.C.

MEDICARE: AMBER WOODS 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
1111N00000XChiropractorCH60487419WA

General Provider Information

NPI Number : 1801269519
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER WOODS D.C.
Provider Business Mailing Address
First Line : PO BOX 656
Second Line :
City : YELM
State : WA
Zip : 98597-0656
Country : US
Telephone Number : 360-400-3151
Fax Number : 360-400-3150
Provider Business Practice Location Address
First Line : 503 1ST ST S
Second Line :
City : YELM
State : WA
Zip : 98597-7634
Country : US
Telephone Number : 360-400-3151
Fax Number : 360-400-3150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2015
Last Update Date : 11/03/2015

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Directions to “ AMBER WOODS D.C.” Practice Location

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