Provider Demographics
NPI:1144418286
Name:ALDERWOOD HOLDINGS INC.
Entity Type:Organization
Organization Name:ALDERWOOD HOLDINGS INC.
Other - Org Name:OSBORNE CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-774-8600
Mailing Address - Street 1:18910 28TH AVE W
Mailing Address - Street 2:# 106
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4701
Mailing Address - Country:US
Mailing Address - Phone:425-774-8600
Mailing Address - Fax:425-774-8656
Practice Address - Street 1:18910 28TH AVE W
Practice Address - Street 2:# 106
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4701
Practice Address - Country:US
Practice Address - Phone:425-774-8600
Practice Address - Fax:425-774-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8858642Medicare PIN