Provider Demographics
NPI:1346279692
Name:NORTON, TIM C (DC)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:C
Last Name:NORTON
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 1:18336 AURORA AVE N #111
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4526
Mailing Address - Country:US
Mailing Address - Phone:206-542-3607
Mailing Address - Fax:206-542-3265
Practice Address - Street 1:18336 AURORA AVE N #111
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4526
Practice Address - Country:US
Practice Address - Phone:206-542-3607
Practice Address - Fax:206-542-3265
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003369111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA38-3786781OtherTAX ID
WA38-3786781OtherTAX ID
WAU64811Medicare UPIN
WAG217000823Medicare PIN