Provider Demographics
NPI:1841340064
Name:ANDERSON, DEBORAH R (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:R
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:R
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:13116 NE 70TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8571
Mailing Address - Country:US
Mailing Address - Phone:425-576-5433
Mailing Address - Fax:425-803-5044
Practice Address - Street 1:13116 NE 70TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8571
Practice Address - Country:US
Practice Address - Phone:425-576-5433
Practice Address - Fax:425-803-5044
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH0003653111N00000X
WADC3653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB11872Medicare ID - Type Unspecified