Provider Demographics
NPI:1457733693
Name:OWENS CHIROPRACTIC P.S.
Entity type:Organization
Organization Name:OWENS CHIROPRACTIC P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODFELLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-831-4637
Mailing Address - Street 1:32123 1ST AVE S STE A3
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5720
Mailing Address - Country:US
Mailing Address - Phone:253-831-4637
Mailing Address - Fax:253-235-5361
Practice Address - Street 1:32123 1ST AVE S STE A3
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5720
Practice Address - Country:US
Practice Address - Phone:253-831-4637
Practice Address - Fax:253-235-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty