NORTHWEST SPINE CLINIC (NPI# 1306297221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306297221 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SPINE CLINIC |
| Practice Address |
4629 168th St Sw Ste B Lynnwood WA 98037-8640 |
| Practice Telephone | 4257410600 |
| Practice Fax Number | 4257410601 |
| Mailing Telephone | 4257410600 |
| Mailing Fax Number | 4257410601 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | DR. ROY KIHYUK JUNG (PRESIDENT) |
| Authorized Official Telephone | 4257410600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60539446 | WA | Chiropractic Providers |
| Street Address |
4629 168TH ST SW STE B |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98037-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393111 | Chung Song Ja Corporation | Acupuncturist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2007-02-14 |
| 1114566452 | Meiling Liu | Massage Therapist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2020-01-03 |
| 1376181610 | Xiaoping Zhang | Massage Therapist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2019-12-17 |
| 1396398558 | Angeline Schaaf | Massage Therapist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2019-07-17 |
| 1306370408 | Back To Wellness | Chiropractor | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2017-04-14 |
| 1902159635 | Maggie Liu | Massage Therapist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2012-10-18 |
| 1831452788 | Sungjun Jung | Chiropractor | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2012-06-15 |
| 1184916876 | Tanya Ann Brown | Massage Therapist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2011-05-12 |
| 1689975229 | Nataliya Kozak | Massage Therapist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2010-11-13 |
| 1417172701 | Daehyun Choi | Acupuncturist | 4629 168th St Sw Ste B, Lynnwood, WA 98037-8640 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441441 | Yin May Siu | Massage Therapist | 17812 19th Ave W, Lynnwood, WA 98037 | 2020-09-14 |
| 1629604343 | Tru Health Pllc | Chiropractor | 3503 188th St Se, Lynnwood, WA 98037 | 2020-03-13 |
| 1427536341 | Cierra Lynn Brunette | Dentist | 17425 Wa-99, Suite D, Lynnwood, WA 98037 | 2018-08-02 |
| 1831680974 | Yessica Yasmin Gaxiola | Dental Assistant | 17425 Wa-99 Suite D, Lynnwood, WA 98037 | 2018-05-24 |
| 1851888416 | Mary Soledad Ramos | Registered Nurse | 6506 168th St. Sw, Lynnwood, WA 98037 | 2018-04-19 |
| 1083144984 | Statcare Staffing | Home Health | 3526 168th Pl Sw, Lynnwood, WA 98037 | 2017-06-14 |
| 1770034910 | Emanual Kahsai | Pharmacist | 18422 41st Pl W, Lynnwood, WA 98037 | 2016-10-24 |
| 1477947133 | Costco Wholesale Corporation | Pharmacy | 18109 33rd Ave W, Lynnwood, WA 98037 | 2015-03-20 |
| 1164816872 | Costco Wholesale Corporation | Hearing Aid Equipment | 18109 33rd Avenue West, Lynnwood, WA 98037 | 2015-03-20 |
| 1801212071 | Megan Ann Herrenkohl | Social Worker | 5325 172nd St Sw, Lynnwood, WA 98037 | 2014-03-12 |
| Find all providers in zip 98037 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604343 | Tru Health Pllc | Chiropractor | 3503 188th St Se, Lynnwood, WA 98037 | 2020-03-13 |
| 1033691340 | Urgent Care Chiropractic | Chiropractor | 3910 196th St Sw Ste E, Lynnwood, WA 98036-5770 | 2018-09-04 |
| 1205235587 | Geun-yeong Jang | Chiropractor | 18904 Hightway 99, Ste-k, Lynnwood, WA 98036 | 2014-08-22 |
| 1477962439 | Good Care Spine Clinic | Chiropractor | 4629 168th St Sw # C2, Lynnwood, WA 98037-8640 | 2014-08-04 |
| 1275954562 | Total Care Clinic LLC | Chiropractor | 3333 184th St Sw Ste R, Lynnwood, WA 98037-4742 | 2014-01-03 |
| 1235499005 | Bestway Chiropractic Clinic | Chiropractor | 4629 168th St Sw # C-3, Lynnwood, WA 98037-8640 | 2012-05-25 |
| 1003187840 | Seattle Spine Care, Ps | Chiropractor | 18415 33rd Ave W, Suite Q, Lynnwood, WA 98037-4702 | 2012-01-25 |
| 1366767170 | Hyunjun Kim | Chiropractor | 3333 184th St. Sw, Suite # R, Lynnwood, WA 98037 | 2010-04-05 |
| 1871726927 | Joseph Robert Kalinowski | Chiropractor | 2533 152nd St Sw Unit 2, Lynnwood, WA 98087-5400 | 2009-08-24 |
| 1780829986 | Ns Clinic | Chiropractor | 4629 168th St Sw #b, Lynnwood, WA 98037 | 2008-12-03 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.