Provider Demographics
NPI:1336549088
Name:WESTBROOK, MEGAN LOCKE (DC)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LOCKE
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:LOCKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:19987 1ST AVE S
Mailing Address - Street 2:STE. 102
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98148-2400
Mailing Address - Country:US
Mailing Address - Phone:206-824-7200
Mailing Address - Fax:206-832-4652
Practice Address - Street 1:19987 1ST AVE S.
Practice Address - Street 2:SUITE 102
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-2400
Practice Address - Country:US
Practice Address - Phone:206-824-7200
Practice Address - Fax:206-832-4652
Is Sole Proprietor?:No
Enumeration Date:2014-08-31
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60495702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8946235Medicare PIN