Provider Demographics
NPI:1336549609
Name:RANGER GROUP PLLC
Entity Type:Organization
Organization Name:RANGER GROUP PLLC
Other - Org Name:STRUCTURAL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-677-4981
Mailing Address - Street 1:16150 NE 85TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3541
Mailing Address - Country:US
Mailing Address - Phone:253-677-4981
Mailing Address - Fax:
Practice Address - Street 1:16150 NE 85TH ST STE 110
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3541
Practice Address - Country:US
Practice Address - Phone:425-636-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-24
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603249159261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty