| NPI | 1568863330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON M GREENSLADE President/Owner 425-387-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 60431420) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2020-01-21 |