Provider Demographics
NPI:1447652870
Name:STARBRIGHT TAMARACK
Entity type:Organization
Organization Name:STARBRIGHT TAMARACK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:E
Authorized Official - Last Name:PLACKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-579-9918
Mailing Address - Street 1:21802 SWEENEY RD SE
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-6415
Mailing Address - Country:US
Mailing Address - Phone:563-579-9918
Mailing Address - Fax:
Practice Address - Street 1:16704 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-3116
Practice Address - Country:US
Practice Address - Phone:206-246-8830
Practice Address - Fax:206-244-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60264847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty