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NPI Code Detail

MEDICARE: STEFANIE D HAUGEN DC

MEDICARE:   STEFANIE D HAUGEN  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
1111NR0400XRehabilitation ChiropractorCH00034044WA

General Provider Information

NPI Number : 1881886711
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE D HAUGEN DC
Provider Business Mailing Address
First Line : 4307 FACTORIA BLVD SE
Second Line : SUITE 1
City : BELLEVUE
State : WA
Zip : 98006-1936
Country : US
Telephone Number : 425-747-5657
Fax Number : 425-747-5334
Provider Business Practice Location Address
First Line : 4307 FACTORIA BLVD SE
Second Line : SUITE 1
City : BELLEVUE
State : WA
Zip : 98006-1936
Country : US
Telephone Number : 425-747-5657
Fax Number : 425-747-5334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2007
Last Update Date : 09/26/2012

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Directions to “ STEFANIE D HAUGEN DC” Practice Location

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