| NPI | 1760671176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MATTHEW RUSSELL Chiropractor 360-754-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002438) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |