Provider Demographics
NPI:1013281252
Name:IRWIN, MICHELLE D (DC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:D
Last Name:IRWIN
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 1:13325 100TH AVE NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5213
Mailing Address - Country:US
Mailing Address - Phone:425-814-9664
Mailing Address - Fax:425-814-7395
Practice Address - Street 1:13325 100TH AVE NE
Practice Address - Street 2:SUITE D
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5213
Practice Address - Country:US
Practice Address - Phone:425-814-9664
Practice Address - Fax:425-814-7395
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60266885111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor