Provider Demographics
NPI:1932243490
Name:PROFESSIONAL CHIROPRACTIC SERVICES PS
Entity Type:Organization
Organization Name:PROFESSIONAL CHIROPRACTIC SERVICES PS
Other - Org Name:PCS INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-577-3780
Mailing Address - Street 1:17420 62ND AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-2910
Mailing Address - Country:US
Mailing Address - Phone:425-577-3870
Mailing Address - Fax:425-820-1802
Practice Address - Street 1:9750 NE 120TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4282
Practice Address - Country:US
Practice Address - Phone:425-577-3780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center