Provider Demographics
NPI:1275779977
Name:CLAUSEN CHIROPRACTIC SERVICES, PS
Entity Type:Organization
Organization Name:CLAUSEN CHIROPRACTIC SERVICES, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:CLAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-282-2831
Mailing Address - Street 1:3224 NW 74TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-4738
Mailing Address - Country:US
Mailing Address - Phone:206-282-2831
Mailing Address - Fax:
Practice Address - Street 1:3224 NW 74TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-4738
Practice Address - Country:US
Practice Address - Phone:206-282-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH34230111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAV06500Medicare UPIN
WA8855855Medicare PIN
WA8855856Medicare PIN