Pine Lake Chiropractic Clinic INC

NPI #1225159940 in Sammamish, Washington

Provider Information

NPI Number: 1225159940
Entity Type: Organization
Organization Name: Pine Lake Chiropractic Clinic INC
Primary Specialty: Chiropractor
Enumeration Date: Apr 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2908 228TH AVE SE
Address 2: SUITE C
City: Sammamish
State: Washington
ZIP Code: 98075-9306
Phone: (425) 391-4095

Authorized Official

Name: DR. DAVID EMIL BAHM, D.C.
Title: PRESIDENT
Phone: (425) 391-4095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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