MEDICARE: MICHELLE D IRWIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH60266885	WA

General Provider Information

NPI Number	:	1013281252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE D IRWIN DC

Provider Business Mailing Address
First Line	:	13325 100TH AVE NE
Second Line	:	SUITE D
City	:	KIRKLAND
State	:	WA
Zip	:	98034-5213
Country	:	US
Telephone Number	:	425-814-9664
Fax Number	:	425-814-7395

Provider Business Practice Location Address
First Line	:	13325 100TH AVE NE
Second Line	:	SUITE D
City	:	KIRKLAND
State	:	WA
Zip	:	98034-5213
Country	:	US
Telephone Number	:	425-814-9664
Fax Number	:	425-814-7395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	04/02/2013

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Directions to “ MICHELLE D IRWIN DC” Practice Location

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