Provider Demographics
NPI:1790721637
Name:MARKOS, CHARIA A (DC)
Entity Type:Individual
Prefix:MS
First Name:CHARIA
Middle Name:A
Last Name:MARKOS
Suffix:
Gender:F
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:PO BOX 55488
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-0488
Mailing Address - Country:US
Mailing Address - Phone:206-362-3508
Mailing Address - Fax:206-362-3532
Practice Address - Street 1:1624 NE 179TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-3965
Practice Address - Country:US
Practice Address - Phone:206-362-3508
Practice Address - Fax:206-362-3532
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor