MEDICARE: WEST SEATTLE CHIROPRACTIC CLINIC PS

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	CH00001321	WA

General Provider Information

NPI Number	:	1306985510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST SEATTLE CHIROPRACTIC CLINIC PS

Provider Business Mailing Address
First Line	:	4137 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4101
Country	:	US
Telephone Number	:	206-935-7222
Fax Number	:	206-935-1337

Provider Business Practice Location Address
First Line	:	4137 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4101
Country	:	US
Telephone Number	:	206-935-7222
Fax Number	:	206-935-1337

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HAROLD HANS RASMUSSEN
Credential	:	D.C.
Telephone Number	:	206-935-7222

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	08/31/2014

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Directions to “WEST SEATTLE CHIROPRACTIC CLINIC PS ” Practice Location

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