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General NPI Number Information
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NPI Number | 1841087228
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Entity Type | Organization
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Legal Business Name | NORTHWEST SPINE & INJURY CARE PLLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 15803 PACIFIC AVE S STE C
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City | TACOMA
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State | WA
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Zip | 98444-6963
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Country | US
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Telephone | 253-220-3531
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Fax | 253-581-2444
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Provider Business Mailing Address
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Address Line | 6520 86TH AVE W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-4066
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Country | US
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Telephone | 425-545-5644
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | JASON OH
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Credential | DC
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Telephone | 206-960-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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