Provider Demographics
NPI:1326583261
Name:MORAN, FREYA CARMEN (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:FREYA
Middle Name:CARMEN
Last Name:MORAN
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15230 NE 24TH ST
Mailing Address - Street 2:SUITE 1-S
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5540
Mailing Address - Country:US
Mailing Address - Phone:425-827-2225
Mailing Address - Fax:425-283-4192
Practice Address - Street 1:15230 NE 24TH ST
Practice Address - Street 2:SUITE 1-S
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5540
Practice Address - Country:US
Practice Address - Phone:425-827-2225
Practice Address - Fax:425-283-4192
Is Sole Proprietor?:No
Enumeration Date:2017-01-02
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60716459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor