Provider Demographics
NPI:1831957372
Name:KAMINSKI, PAULINA NOELLE (DC)
Entity type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:NOELLE
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19122 BEARDSLEE BLVD # 105
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-0200
Mailing Address - Country:US
Mailing Address - Phone:425-381-4460
Mailing Address - Fax:425-381-4464
Practice Address - Street 1:19121 112TH AVE NE APT 417
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-0032
Practice Address - Country:US
Practice Address - Phone:425-446-0927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61520070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor