Provider Demographics
NPI:1669578381
Name:PRICE, DUANE NELSON (DC)
Entity type:Individual
Prefix:DR
First Name:DUANE
Middle Name:NELSON
Last Name:PRICE
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:PO BOX 1088
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98041-1088
Mailing Address - Country:US
Mailing Address - Phone:425-483-8304
Mailing Address - Fax:
Practice Address - Street 1:18516 101ST AVE NE
Practice Address - Street 2:#3
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3882
Practice Address - Country:US
Practice Address - Phone:425-483-8304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPR0092OtherREGENCE PROVIDER NUMBER
WAPR0092OtherREGENCE PROVIDER NUMBER