Provider Demographics
NPI:1679602759
Name:PAJAK, TOMEK J (DC)
Entity Type:Individual
Prefix:DR
First Name:TOMEK
Middle Name:J
Last Name:PAJAK
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 1:18513 SE 44TH LN
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8293
Mailing Address - Country:US
Mailing Address - Phone:360-597-3128
Mailing Address - Fax:360-253-9469
Practice Address - Street 1:820 NE NORTHGATE WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7312
Practice Address - Country:US
Practice Address - Phone:206-440-7700
Practice Address - Fax:206-440-8900
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor