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NPI 1366512337ActiveOrganization· Chiropractor· Mill Creek, WA
Chiropractor in Mill Creek, Washington, registered in NPPES in November 2006. The authorized official on file is Fernanda Velderrain, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366512337 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2006 |
| Last updated in NPPES | Oct 5, 2022 |
| Certified by provider | Oct 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CH00003582 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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All 35 chiropractors in Mill Creek · All chiropractors in Washington