Provider Demographics
NPI:1861954190
Name:ALUMBAUGH, CASSIDY CLAY (DC)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:CLAY
Last Name:ALUMBAUGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CASSIDY
Other - Middle Name:CLAY
Other - Last Name:ALUMBAUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1800 116TH AVE NE STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3043
Mailing Address - Country:US
Mailing Address - Phone:425-691-6465
Mailing Address - Fax:
Practice Address - Street 1:1800 116TH AVE NE STE 101
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3043
Practice Address - Country:US
Practice Address - Phone:425-691-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHIR.CH.60947529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor