Pacific Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PACIFIC CHIROPRACTIC, LLC

Practice address

801 S 3Rd St Ste D
Renton, WA 98057-2799

Phone

(425) 226-2821

Fax

(206) 202-2611

NPI assigned

Mar 11, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lawrence Peter Soliven

Title

Director of Billing

Phone

(425) 306-3159

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Olaf Jensen, D.C.

  • Chiropractor
  • Renton, WA
  • NPI 1063645463
  NPD (past)
• Stephanie Yotsuuye

  • Massage Therapist
  • Renton, WA
  • NPI 1407346059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1710348123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S 3RD ST STE D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572799",
            "telephone_number": "425-226-2821",
            "fax_number": "206-202-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 3RD ST STE D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572799",
            "telephone_number": "425-226-2821",
            "fax_number": "206-202-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "SOLIVEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "425-306-3159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine A Otieno
• Ichiro Otsu, MD
• Kristen M Oulton, AUDIOLOGIST
• Linda L Overland-Smith, RN
• Stephanie Marie Owens, OT
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Northwest Family Care
• Pacific Rehabilitation & Sports Medicine Inc
• Pacific Retina Center PLLC
• Pacific Rheumatology Associates Inc PS

• Chiropractor in Renton, WA
• Providers in Renton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.