REDMOND BACK AND NECK PAIN CLINIC (NPI# 1427509579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427509579 |
| Entity Type | Organization |
| Organization Name | REDMOND BACK AND NECK PAIN CLINIC |
| Practice Address |
16440 Ne 85th St Redmond WA 98052-3613 |
| Practice Telephone | 4258859950 |
| Practice Fax Number | 4258959766 |
| Mailing Telephone | 4258859950 |
| Mailing Fax Number | 4258959766 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | SHARON T WAGENER DEWOLF (OWNER) |
| Authorized Official Telephone | 4258859950 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00001859 | WA | Chiropractic Providers |
| Street Address |
16440 NE 85TH ST |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855499 | Redmond Back & Neck Care Clinic, P.s. | Massage Therapist | 16440 Ne 85th St, Redmond, WA 98052-3613 | 2019-08-01 |
| 1477020196 | Michelle Diatri | Massage Therapist | 16440 Ne 85th St, Redmond, WA 98052-3613 | 2018-10-31 |
| 1639645054 | Doris Steinkraus | Massage Therapist | 16440 Ne 85th St, Redmond, WA 98052-3613 | 2018-10-23 |
| 1629562038 | Wendy Jeannette Blackburn | Massage Therapist | 16440 Ne 85th St, Redmond, WA 98052-3613 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| 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 |
|---|---|---|---|---|
| 1013522358 | Terri Ann Truesdale | Chiropractor | 4455 Sw Salmon Pl, Redmond, OR 97756-1983 | 2020-09-14 |
| 1285244079 | Wellness Group Pllc | Chiropractor | 2007 152nd Ave Ne Ste W, Redmond, WA 98052-5521 | 2020-08-06 |
| 1265911077 | Adam J Hamilton Dc PC | Chiropractor | 2757 Nw 7th St Ste B, Redmond, OR 97756-1861 | 2018-08-13 |
| 1144638511 | Aligned Inc | Chiropractor | 725 Nw Kingwood Avenue, Redmond, OR 97756-1349 | 2014-07-29 |
| 1659611432 | Carl Johan Moe | Chiropractor | 16563 Redmond Way, Suite D, Redmond, WA 98052-4464 | 2013-02-15 |
| 1083983753 | Craig M Burns LLC | Chiropractor | 15655 Ne 85th Street, Suite 3, Redmond, WA 98052-3563 | 2011-12-23 |
| 1477854958 | Adam J Hamilton | Chiropractor | 611 Ne Jackpine Ct Bldg C, Redmond, OR 97756 | 2010-11-15 |
| 1073828430 | Spine Performance and Rehabilitation Center | Chiropractor | 22433 Ne Marketplace Dr Apt L3082, Redmond, WA 98053-1924 | 2010-08-10 |
| 1548593239 | Kevin Dale Lewis | Chiropractor | 753 Sw 11th St Apt A, Redmond, OR 97756-2632 | 2009-09-11 |
| 1477783215 | Sather None Ekblad | Chiropractor | 916 Sw 17th St Ste 202, Redmond, OR 97756-2572 | 2009-07-14 |
| Find all providers in REDMOND | ||||
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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.