| Dr Paphawee Chungtrakool, DC | |
|
5901 Roosevelt Way Ne Ste 101a, Seattle, WA 98105-2763 | |
| (206) 525-5664 | |
| Not Available |
| Full Name | Dr Paphawee Chungtrakool |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 5901 Roosevelt Way Ne Ste 101a, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609613124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH61579259 (Washington) | Primary |
| Provider Name | Back to Health Chiropractic Clinic PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841406469 PECOS PAC ID: 2769475557 Enrollment ID: O20040407000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paphawee Chungtrakool, DC 22020 Ne 147th St, Brush Prairie, WA 98606-5501 Ph: (360) 947-4005 | Dr Paphawee Chungtrakool, DC 5901 Roosevelt Way Ne Ste 101a, Seattle, WA 98105-2763 Ph: (206) 525-5664 |
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