Healthcare Provider Details

I. General information

NPI: 1467531905
Provider Name (Legal Business Name): HOWARD R WRIGHT JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 05/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 156TH AVE NE STE 123
BELLEVUE WA
98007-7562
US

IV. Provider business mailing address

1299 156TH AVE NE STE 123
BELLEVUE WA
98007-7562
US

V. Phone/Fax

Practice location:
  • Phone: 425-614-4000
  • Fax: 425-641-0880
Mailing address:
  • Phone: 425-614-4000
  • Fax: 425-641-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034325
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: