Provider Demographics
NPI:1174894687
Name:DILLAN, NIALL CAMERON (DC)
Entity type:Individual
Prefix:DR
First Name:NIALL
Middle Name:CAMERON
Last Name:DILLAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 WOODLAWN AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5433
Mailing Address - Country:US
Mailing Address - Phone:206-517-5433
Mailing Address - Fax:206-517-5533
Practice Address - Street 1:7010 WOODLAWN AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5433
Practice Address - Country:US
Practice Address - Phone:206-517-5433
Practice Address - Fax:206-517-5533
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60264142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor