Provider Demographics
NPI:1982888608
Name:SOFT TOUCH CHIROPRACTIC INC
Entity Type:Organization
Organization Name:SOFT TOUCH CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-576-4967
Mailing Address - Street 1:10501 NE HIGHWAY 99
Mailing Address - Street 2:#23
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-5697
Mailing Address - Country:US
Mailing Address - Phone:360-573-9669
Mailing Address - Fax:360-573-0448
Practice Address - Street 1:10501 NE HIGHWAY 99
Practice Address - Street 2:#23
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-5697
Practice Address - Country:US
Practice Address - Phone:360-573-9669
Practice Address - Fax:360-573-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB27862Medicare PIN
WAAB27861Medicare UPIN