Provider Demographics
NPI:1760512123
Name:RUSSELL GALARNEAU, DC, PS
Entity Type:Organization
Organization Name:RUSSELL GALARNEAU, DC, PS
Other - Org Name:PENINSULA CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:G
Authorized Official - Last Name:GALARNEAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-851-7711
Mailing Address - Street 1:3123 56TH ST. NW
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335
Mailing Address - Country:US
Mailing Address - Phone:253-851-7711
Mailing Address - Fax:253-851-7713
Practice Address - Street 1:3123 56TH ST. NW
Practice Address - Street 2:SUITE 4
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335
Practice Address - Country:US
Practice Address - Phone:253-851-7711
Practice Address - Fax:253-851-7713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty