Provider Demographics
NPI:1740581792
Name:NORTH CASCADES NETWORK CARE, PLLC
Entity Type:Organization
Organization Name:NORTH CASCADES NETWORK CARE, PLLC
Other - Org Name:SMOKEY POINT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:F
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-653-4626
Mailing Address - Street 1:4113 172ND ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-7737
Mailing Address - Country:US
Mailing Address - Phone:360-653-4626
Mailing Address - Fax:360-659-4427
Practice Address - Street 1:4113 172ND ST NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-7737
Practice Address - Country:US
Practice Address - Phone:360-653-4626
Practice Address - Fax:360-659-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001602111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty