Provider Demographics
NPI:1598899643
Name:CHINN, PERRY L (DC)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:L
Last Name:CHINN
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 1:3901 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-4940
Mailing Address - Country:US
Mailing Address - Phone:253-756-7500
Mailing Address - Fax:253-756-7501
Practice Address - Street 1:3901 6TH AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-4940
Practice Address - Country:US
Practice Address - Phone:253-756-7500
Practice Address - Fax:253-756-7501
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002182111N00000X, 111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
13536OtherLABOR & INDUSTRY
CH4243OtherREGENCE BCBS
WA2032415Medicaid
WA2032415Medicaid