Healthcare Provider Details

I. General information

NPI: 1689743858
Provider Name (Legal Business Name): MICHAEL JOSEPH DOWLING DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 6TH ST S
KIRKLAND WA
98033-6714
US

IV. Provider business mailing address

822 6TH ST S
KIRKLAND WA
98033-6714
US

V. Phone/Fax

Practice location:
  • Phone: 425-889-1403
  • Fax: 425-889-1405
Mailing address:
  • Phone: 425-889-1403
  • Fax: 425-889-1405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH00002266
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: