Healthcare Provider Details

I. General information

NPI: 1780830869
Provider Name (Legal Business Name): HEALTH CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18336 AURORA AVE N #111
SHORELINE WA
98133-4526
US

IV. Provider business mailing address

18336 AURORA AVE N #111
SHORELINE WA
98133-4526
US

V. Phone/Fax

Practice location:
  • Phone: 206-542-3607
  • Fax: 206-542-3265
Mailing address:
  • Phone: 206-542-3607
  • Fax: 206-542-3265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00006263
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00008862
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00003369
License Number StateWA

VIII. Authorized Official

Name: DR. TIM C. NORTON
Title or Position: PRESIDENT
Credential: DC
Phone: 206-542-3607