Pacific Sport & Spine is a 
Chiropractor - Sports Physician based in Woodway, Washington. Pacific Sport & Spine is licensed to practice in Washington (license number CH60330013) and their current practice location is 
22426 Woodway Park Rd, Woodway, Washington. It can be reached at their office (for appointments etc.) via phone at 
(425) 478-0077.
NPI number for Pacific Sport & Spine is 1780921726 and their current mailing address is 22426 Woodway Park Rd, Woodway, Washington. Pacific Sport & Spine 
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1780921726.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Pacific Sport & Spine | 
|---|
| Type | Facility | 
|---|
| Speciality | Chiropractor - Sports Physician | 
|---|
| Location | 22426 Woodway Park Rd, Woodway, Washington | 
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1780921726
- Provider Enumeration Date: 01/10/2013
- Last Update Date: 01/10/2013
 
		 
		 
Medical Identifiers
		Medical identifiers for Pacific Sport & Spine such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1780921726 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 111NS0005X | Chiropractor - Sports Physician | CH60330013 (Washington) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacific Sport & Spine is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Pacific Sport & Spine 22426 Woodway Park Rd,
 Woodway, WA 98020-6170
 Ph: () -
 | Pacific Sport & Spine 22426 Woodway Park Rd,
 Woodway, WA 98020-6170
 Ph: (425) 478-0077
 | 
		
		 
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