Healthcare Provider Details

I. General information

NPI: 1528115896
Provider Name (Legal Business Name): PC CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13028 S INTERURBAN AVE #106
TUKWILA WA
98168-3340
US

IV. Provider business mailing address

13028 S INTERURBAN AVE #106
TUKWILA WA
98168-3340
US

V. Phone/Fax

Practice location:
  • Phone: 206-957-7950
  • Fax: 206-957-7952
Mailing address:
  • Phone: 206-957-7950
  • Fax: 206-957-7952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PERRY L. CHINN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 206-957-7950