Provider Demographics
NPI:1023225588
Name:MONTALAND, ALEXIE ESTELLE (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXIE
Middle Name:ESTELLE
Last Name:MONTALAND
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 1:14405 NE 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3710
Mailing Address - Country:US
Mailing Address - Phone:425-641-2527
Mailing Address - Fax:425-641-5337
Practice Address - Street 1:14405 NE 20TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3710
Practice Address - Country:US
Practice Address - Phone:425-641-2527
Practice Address - Fax:425-641-5337
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor