Healthcare Provider Details

I. General information

NPI: 1922914878
Provider Name (Legal Business Name): HUMAN FUNCTION SCIENCES, INC., PS DBA SUMMIT NEURO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 SE 8TH ST STE 116
BELLEVUE WA
98004-6652
US

IV. Provider business mailing address

27124 SE 175TH PL
ISSAQUAH WA
98027-6905
US

V. Phone/Fax

Practice location:
  • Phone: 425-242-7246
  • Fax: 253-854-7160
Mailing address:
  • Phone: 425-242-7246
  • Fax: 253-854-7160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: GARY BLACKBURN
Title or Position: OWNER
Credential: DC
Phone: 425-242-7246