MEDICARE: ALWAYS CHIROPRACTIC AND WELLNESS PLLC

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	CH00003683	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	EL7813	OTHER	WA	REGENCE BS
2	0194838	OTHER	WA	STATE INDUSTRIAL ACCIDENT

General Provider Information

NPI Number	:	1609991280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALWAYS CHIROPRACTIC AND WELLNESS PLLC

Provider Business Mailing Address
First Line	:	2324 EASTLAKE AVE E
Second Line	:	SUITE 100
City	:	SEATTLE
State	:	WA
Zip	:	98102-3345
Country	:	US
Telephone Number	:	206-325-9297
Fax Number	:	206-325-9292

Provider Business Practice Location Address
First Line	:	2324 EASTLAKE AVE E
Second Line	:	SUITE 100
City	:	SEATTLE
State	:	WA
Zip	:	98102-3345
Country	:	US
Telephone Number	:	206-325-9297
Fax Number	:	206-325-9292

Authorized Official
Title or Position	:	OWNER
Name	:	KATHERINE DORA ELLISON
Credential	:	DC
Telephone Number	:	206-325-9297

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	10/27/2008

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Directions to “ALWAYS CHIROPRACTIC AND WELLNESS PLLC ” Practice Location

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