| NPI | 1063618981 |
|---|---|
| Doing Business As | EVERGREEN CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S KUN President 206-323-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC26215) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-03-09 |