Provider Demographics
NPI:1598809436
Name:VOSS, FORREST WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:FORREST
Middle Name:WILLIAM
Last Name:VOSS
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 1:3150 139TH AVE SE
Mailing Address - Street 2:BLDG 4
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-4046
Mailing Address - Country:US
Mailing Address - Phone:206-291-8223
Mailing Address - Fax:
Practice Address - Street 1:3150 139TH AVE SE
Practice Address - Street 2:BLDG 4
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4046
Practice Address - Country:US
Practice Address - Phone:206-291-8223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60272857111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor