Provider Demographics
NPI:1689466849
Name:QUAYLE, BENJAMIN ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ADAM
Last Name:QUAYLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14116 272ND PL NE
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-8675
Mailing Address - Country:US
Mailing Address - Phone:425-229-7423
Mailing Address - Fax:
Practice Address - Street 1:14116 272ND PL NE
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8675
Practice Address - Country:US
Practice Address - Phone:425-229-7423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61472691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor