| NPI | 1780705640 |
|---|---|
| Former Legal Business Name | DBA HEALTHSOURCE OF KIRKLAND |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J WEBER Clinic Director 425-822-4389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH0000-1424) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00001424) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-12-01 |