Provider Demographics
NPI:1750502522
Name:BARRY, DAVID J (ND, DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:BARRY
Suffix:
Gender:M
Credentials:ND, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 STATE ST S
Mailing Address - Street 2:SUITE 6
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6615
Mailing Address - Country:US
Mailing Address - Phone:425-891-1581
Mailing Address - Fax:425-412-4913
Practice Address - Street 1:433 STATE ST S
Practice Address - Street 2:SUITE 6
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6615
Practice Address - Country:US
Practice Address - Phone:425-891-1581
Practice Address - Fax:425-412-4913
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001438175F00000X, 175L00000X
WACH00034760111NN1001X, 111NX0800X, 111NN0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111NN0400XChiropractic ProvidersChiropractorNeurology
No175L00000XOther Service ProvidersHomeopath
No111N00000XChiropractic ProvidersChiropractor