Provider Demographics
NPI:1750520912
Name:WHITE AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:WHITE AND ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-861-3832
Mailing Address - Street 1:16700 NE 79TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4465
Mailing Address - Country:US
Mailing Address - Phone:425-861-3832
Mailing Address - Fax:425-861-3808
Practice Address - Street 1:16700 NE 79TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4465
Practice Address - Country:US
Practice Address - Phone:425-861-3832
Practice Address - Fax:425-861-3808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHITE & ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-11
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034847111N00000X
WAMA00022861225700000X
WAMA00017030225700000X
WACH00034066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty