Provider Demographics
NPI:1831414648
Name:DOREY CHIROPRACTIC CENTER, PLLC
Entity type:Organization
Organization Name:DOREY CHIROPRACTIC CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LEAD CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:DOREY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:434-249-6333
Mailing Address - Street 1:15935 NE 8TH ST
Mailing Address - Street 2:SUITE A101
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3918
Mailing Address - Country:US
Mailing Address - Phone:425-644-5556
Mailing Address - Fax:425-644-3174
Practice Address - Street 1:15935 NE 8TH ST
Practice Address - Street 2:SUITE A101
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3918
Practice Address - Country:US
Practice Address - Phone:425-644-5556
Practice Address - Fax:425-644-3174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty