Provider Demographics
NPI:1740529304
Name:OBJECTIVE DIAGNOSTICS RESERACH & REHABILITATION INSTITUTE
Entity type:Organization
Organization Name:OBJECTIVE DIAGNOSTICS RESERACH & REHABILITATION INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:L
Authorized Official - Last Name:FINLAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-927-2250
Mailing Address - Street 1:6720 EASTSIDE DR NE
Mailing Address - Street 2:STE 2
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-1174
Mailing Address - Country:US
Mailing Address - Phone:253-927-2250
Mailing Address - Fax:253-927-9221
Practice Address - Street 1:6720 EASTSIDE DR NE
Practice Address - Street 2:STE 2
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98422-1174
Practice Address - Country:US
Practice Address - Phone:253-927-2250
Practice Address - Fax:253-927-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002013111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty