Provider Demographics
NPI:1871963298
Name:AN EVOLUTION IN CHIROPRACTIC
Entity type:Organization
Organization Name:AN EVOLUTION IN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OAKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-444-4815
Mailing Address - Street 1:3417 EVANSTON AVE N
Mailing Address - Street 2:STE 322
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8626
Mailing Address - Country:US
Mailing Address - Phone:425-444-4815
Mailing Address - Fax:425-406-6200
Practice Address - Street 1:3417 EVANSTON AVE N
Practice Address - Street 2:STE 322
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:425-444-4815
Practice Address - Fax:425-406-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60235375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty