Healthcare Provider Details

I. General information

NPI: 1629362025
Provider Name (Legal Business Name): 180 DEGREES CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16150 NE 85TH ST SUITE 110
REDMOND WA
98052-3539
US

IV. Provider business mailing address

16150 NE 85TH ST SUITE 110
REDMOND WA
98052-3539
US

V. Phone/Fax

Practice location:
  • Phone: 425-636-8354
  • Fax: 425-636-8445
Mailing address:
  • Phone: 425-636-8354
  • Fax: 425-636-8445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH60175587
License Number StateWA

VIII. Authorized Official

Name: DR. JENNIFER LYNN ALIMENT
Title or Position: OWNER
Credential: D.C.
Phone: 425-636-8354