Healthcare Provider Details

I. General information

NPI: 1306913678
Provider Name (Legal Business Name): FARRELL JAMES DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NW BUCKLIN HILL RD STE 122 DR. FARRELL JAMES
SILVERDALE WA
98383
US

IV. Provider business mailing address

3100 NW BUCKLIN HILL RD STE 122 DR. FARRELL JAMES
SILVERDALE WA
98383
US

V. Phone/Fax

Practice location:
  • Phone: 360-613-0123
  • Fax: 360-613-5432
Mailing address:
  • Phone: 360-613-0123
  • Fax: 360-613-5432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034029
License Number StateWA

VIII. Authorized Official

Name: MR. FARRELL PATRICK JAMES
Title or Position: OWNER
Credential: DC
Phone: 360-613-0123