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Dr. Mitchell Eugene Derrick, DC
Chiropractor in Olympia, Washington
NPI 1265527154

Mitchell Eugene Derrick is a Chiropractor based in Olympia, WA. Mitchell Eugene Derrick practices in Olympia, WA and has the professional credentials of DC. The NPI Number for Mitchell Eugene Derrick is 1265527154 and holds a License No. CH0003132 (Washington).

The current practice location address for Mitchell Eugene Derrick is 3535 Martin Way E., Olympia, WA and can be reached out via phone at 360-438-6425 and via fax at 360-923-9382.

Location: 3535 Martin Way E., Olympia, WA, 98506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265527154
Provider Name
Mitchell Eugene Derrick
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3535 Martin Way E., Olympia, WA, 98506
Phone Number
360-438-6425
Fax Number
360-923-9382
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101194/164269 01 WA DEPART. OF LI
DE3088 01 REGENCE/BLUE SHIELD
2022028 05 WA
91-2132905 01 WA PREMERA/BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
3535 Martin Way E.
City
Olympia
State
Washington
Zip
98506
Phone Number
360-438-6425
Fax Number
360-923-9382
person
Provider Business Mailing Address Details
Address
3535 Martin Way E.
City
Olympia
State
Washington
Zip
98506
Phone Number
360-438-6425
Fax Number
360-923-9382
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH0003132 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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