Provider Demographics
NPI:1053480020
Name:BURNS, CRAIG MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:MATTHEW
Last Name:BURNS
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 1:18351 NE 159TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-6100
Mailing Address - Country:US
Mailing Address - Phone:425-881-3100
Mailing Address - Fax:425-881-3102
Practice Address - Street 1:8088 160TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3810
Practice Address - Country:US
Practice Address - Phone:425-881-3100
Practice Address - Fax:425-881-3102
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034573111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation