Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARL RUSSELL BOTEFUHR, DC
Active Sole ProprietorDR. CARL RUSSELL BOTEFUHR, DC is a Chiropractor healthcare provider located in SUQUAMISH, Washington. NPI 1588860613 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · SUQUAMISH, WA
Registration Details
- NPI Number
- 1588860613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2007 (19.162342415759 yrs)
- Last Updated
- Nov 2, 2012
- License
-
2461 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6505 NE PROSPECT STSUQUAMISH, WA, 983929702Browse WA providers · Browse ZIP 98392
- Phone
- 3605097147
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.