MEDICARE: ALDERWOOD HOLDINGS INC.

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	CH00001982	WA

General Provider Information

NPI Number	:	1144418286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDERWOOD HOLDINGS INC.

Provider Business Mailing Address
First Line	:	18910 28TH AVE W
Second Line	:	# 106
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-4701
Country	:	US
Telephone Number	:	425-774-8600
Fax Number	:	425-774-8656

Provider Business Practice Location Address
First Line	:	18910 28TH AVE W
Second Line	:	# 106
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-4701
Country	:	US
Telephone Number	:	425-774-8600
Fax Number	:	425-774-8656

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. PATRICK KEVIN OSBORNE
Credential	:	D.C.
Telephone Number	:	425-774-8600

Provider Enumeration Date	:	10/12/2007
Last Update Date	:	05/05/2008

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