Provider Demographics
NPI:1508186214
Name:R & D COULSON INC.
Entity Type:Organization
Organization Name:R & D COULSON INC.
Other - Org Name:TENINO CLINIC OF CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:COULSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-264-5999
Mailing Address - Street 1:PO BOX 676
Mailing Address - Street 2:3
Mailing Address - City:TENINO
Mailing Address - State:WA
Mailing Address - Zip Code:98589-0676
Mailing Address - Country:US
Mailing Address - Phone:360-264-5999
Mailing Address - Fax:350-264-5979
Practice Address - Street 1:448 SUSSEX AVE E
Practice Address - Street 2:3
Practice Address - City:TENINO
Practice Address - State:WA
Practice Address - Zip Code:98589-8703
Practice Address - Country:US
Practice Address - Phone:360-264-5999
Practice Address - Fax:360-264-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1296261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service