Provider Demographics
NPI:1912098526
Name:TENNEY, CALAH HUBBELL (DC)
Entity Type:Individual
Prefix:DR
First Name:CALAH
Middle Name:HUBBELL
Last Name:TENNEY
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 1:1233 LAWRENCE ST
Mailing Address - Street 2:STE 201
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-6554
Mailing Address - Country:US
Mailing Address - Phone:360-379-0800
Mailing Address - Fax:360-379-0801
Practice Address - Street 1:1233 LAWRENCE ST
Practice Address - Street 2:STE 201
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-6554
Practice Address - Country:US
Practice Address - Phone:360-379-0800
Practice Address - Fax:360-379-0801
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH300034436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00432802OtherMEDICARE RAILROAD
WA870782844-03OtherKPS
WA6739TEOtherREGENCE BLUE SHIELD
WA0213861OtherL&I
WAV11030Medicare UPIN
WAP00432802OtherMEDICARE RAILROAD