Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 60630792 | WA |
NPI | 1023478534 |
---|---|
Provider Name | Dr. Jayson Adam Sipress |
First Address | Everett, WA 98203-2219 |
Second Address | Lynnwood, WA 98036-4731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2016 |
Last Update Date | 16/03/2017 |