Provider Demographics
NPI:1174600324
Name:SAUNDERS, ERIC STEPHEN (DC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:STEPHEN
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:E
Other - Middle Name:STEPHEN
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:610 MARKET ST
Mailing Address - Street 2:STE 202
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5451
Mailing Address - Country:US
Mailing Address - Phone:425-577-3780
Mailing Address - Fax:425-820-1802
Practice Address - Street 1:610 MARKET ST
Practice Address - Street 2:STE 202
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5451
Practice Address - Country:US
Practice Address - Phone:425-828-4850
Practice Address - Fax:425-828-4657
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2000057Medicaid
WA2000057Medicaid
WA8800502Medicare ID - Type Unspecified