Provider Demographics
NPI:1366599979
Name:ANDREWS, JARED MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:MICHAEL
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7207 265TH ST NW STE 102
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-6274
Mailing Address - Country:US
Mailing Address - Phone:360-629-6544
Mailing Address - Fax:360-629-4520
Practice Address - Street 1:7207 265TH ST NW STE 102
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6274
Practice Address - Country:US
Practice Address - Phone:360-629-6544
Practice Address - Fax:360-629-4520
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034665111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1366599979OtherNPI
WAG8868295OtherMEDICARE