Provider Demographics
NPI:1477611457
Name:STRAPPAZON, JEFFREY WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WAYNE
Last Name:STRAPPAZON
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 1:1908 NW 1ST WAY
Mailing Address - Street 2:STE 113
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-4560
Mailing Address - Country:US
Mailing Address - Phone:360-687-3181
Mailing Address - Fax:360-687-1992
Practice Address - Street 1:1908 NW 1ST WAY STE 113
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4560
Practice Address - Country:US
Practice Address - Phone:360-687-3181
Practice Address - Fax:360-687-1992
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA76935OtherDEPARTMENT OF LABOR & IND
WA2120589Medicaid
WA8803603Medicare ID - Type Unspecified
WA76935OtherDEPARTMENT OF LABOR & IND