Provider Demographics
NPI:1568648442
Name:HARLOW, JOLENE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOLENE
Middle Name:
Last Name:HARLOW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOLENE
Other - Middle Name:
Other - Last Name:GAGNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:721 M ST NE STE 105
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4503
Mailing Address - Country:US
Mailing Address - Phone:253-939-9599
Mailing Address - Fax:253-804-5655
Practice Address - Street 1:721 M ST NE STE 105
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002
Practice Address - Country:US
Practice Address - Phone:253-939-9599
Practice Address - Fax:253-804-5655
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor