Provider Demographics
NPI:1740321355
Name:ONCKEN, JOSHUA C (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:C
Last Name:ONCKEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 SE 36TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1675
Mailing Address - Country:US
Mailing Address - Phone:425-614-0680
Mailing Address - Fax:
Practice Address - Street 1:14100 SE 36TH ST STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1675
Practice Address - Country:US
Practice Address - Phone:425-614-0680
Practice Address - Fax:425-614-0679
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0193040OtherL&I PROVIDER NUMBER
WA0193040OtherL&I PROVIDER NUMBER
WA8852062Medicare PIN
WA0193040OtherL&I PROVIDER NUMBER