Provider Demographics
NPI:1295286565
Name:DANA CLUM AND ASSOCIATES, PLLC
Entity type:Organization
Organization Name:DANA CLUM AND ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:CAVELL CLUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-820-8837
Mailing Address - Street 1:13128 TOTEM LAKE BLVD NE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2953
Mailing Address - Country:US
Mailing Address - Phone:425-820-8837
Mailing Address - Fax:425-820-7009
Practice Address - Street 1:13128 TOTEM LAKE BLVD NE
Practice Address - Street 2:SUITE 203
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-2953
Practice Address - Country:US
Practice Address - Phone:425-820-8837
Practice Address - Fax:425-820-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60475422111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty