Provider Demographics
NPI:1518184142
Name:ANDERSON, ERIN MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MICHELLE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6203
Mailing Address - Country:US
Mailing Address - Phone:206-547-9944
Mailing Address - Fax:206-547-1323
Practice Address - Street 1:2223 N 56TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6203
Practice Address - Country:US
Practice Address - Phone:206-547-9944
Practice Address - Fax:206-547-1323
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60315645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor