MEDICARE: TRACHUK HEALTH SOLUTIONS 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	111NR0400X	Rehabilitation Chiropractor
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1659069037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRACHUK HEALTH SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	9403 LINDEN AVE N APT 4
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3247
Country	:	US
Telephone Number	:	206-724-2353
Fax Number	:

Provider Business Practice Location Address
First Line	:	1751 NW 57TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3034
Country	:	US
Telephone Number	:	206-724-2353
Fax Number	:	206-455-7070

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. LOGAN TRACHUK
Credential	:	DC
Telephone Number	:	206-724-2353

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	10/11/2024

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