Provider Demographics
NPI:1477620524
Name:HAUGEN, PAULINE LOIS (DC)
Entity Type:Individual
Prefix:MISS
First Name:PAULINE
Middle Name:LOIS
Last Name:HAUGEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:PAULINE
Other - Middle Name:LOIS
Other - Last Name:ARNILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:227 BELLEVUE WAY NE
Mailing Address - Street 2:#294
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5721
Mailing Address - Country:US
Mailing Address - Phone:425-830-8367
Mailing Address - Fax:425-462-1742
Practice Address - Street 1:1370 116TH AVE NE
Practice Address - Street 2:#206
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3825
Practice Address - Country:US
Practice Address - Phone:425-830-8367
Practice Address - Fax:425-462-1742
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor