MEDICARE: DR. HAROLD HANS RASMUSSEN 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	CH00001321	WA

General Provider Information

NPI Number	:	1386747772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD HANS RASMUSSEN DC

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	08/31/2014

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