Provider Demographics
NPI:1437351483
Name:STILES, JOHN R III (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:STILES
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:TREY
Other - Middle Name:
Other - Last Name:STILES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15043 BEL RED RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4211
Mailing Address - Country:US
Mailing Address - Phone:425-688-7901
Mailing Address - Fax:
Practice Address - Street 1:15043 BEL RED RD
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4211
Practice Address - Country:US
Practice Address - Phone:425-688-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA217000234Medicare ID - Type Unspecified