Healthcare Provider Details
I. General information
NPI: 1356461412
Provider Name (Legal Business Name): MONTALAND MCGRATH CHIROPRACTIC CENTER, PS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14405 NE 20TH ST SUITE 1
BELLEVUE WA
98007-3710
US
IV. Provider business mailing address
14405 NE 20TH ST SUITE 1
BELLEVUE WA
98007-3710
US
V. Phone/Fax
- Phone: 425-641-2527
- Fax:
- Phone: 425-641-2527
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH00034383 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | CH00003532 |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
ALEXIE
ESTELLE
MONTALAND
Title or Position: TREASURER
Credential: D.C
Phone: 425-641-2527