Provider Demographics
NPI:1851346175
Name:NOSRATI, KARIN LAIMER (DC)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:LAIMER
Last Name:NOSRATI
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 1:20107 NE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7667
Mailing Address - Country:US
Mailing Address - Phone:360-254-1585
Mailing Address - Fax:360-254-1210
Practice Address - Street 1:20107 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7667
Practice Address - Country:US
Practice Address - Phone:360-254-1585
Practice Address - Fax:360-254-1210
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002905111N00000X
WA3697111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0037434OtherWA DEPT OF LABOR AND INDU
U47153Medicare UPIN