DR. VYACHESLAV A. BORISENKO, D.C., P.S. (NPI# 1164667085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164667085 |
| Entity Type | Organization |
| Organization Name | DR. VYACHESLAV A. BORISENKO, D.C., P.S. |
| Other Organization Name | NW SPINAL REHABILITATION CLINIC |
| Practice Address |
10024 Se 240th St Suite 119 Kent WA 98031-5124 |
| Practice Telephone | 2535207531 |
| Practice Fax Number | 2535206589 |
| Mailing Telephone | 2535207531 |
| Mailing Fax Number | 2535206589 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | DR. VYACHESLAV BORISENKO (PRESIDENT) |
| Authorized Official Telephone | 2535207531 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00033992 | WA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| NW Spinal Rehabilitation Clinic | Doing Business As Name - Organization |
| Street Address |
10024 SE 240TH ST SUITE 119 |
| City | KENT |
| State | WA |
| Zip Code | 98031-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023004611 | Robert T Smithing | Nurse Practitioner | 10024 Se 240th St, 201, Kent, WA 98031-5124 | 2005-09-20 |
| 1356725535 | Long Dao | Optometrist | 10024 Se 240th St, Suite 220, Kent, WA 98031-5124 | 2015-07-16 |
| 1770998502 | Juli Marie Sweet | Nurse Practitioner | 10024 Se 240th St, Suite 201, Kent, WA 98031-5124 | 2014-07-01 |
| 1063826329 | Mb2k, LLC | Nurse Practitioner | 10024 Se 240th St, Suite 201, Kent, WA 98031-5124 | 2014-06-16 |
| 1356772370 | Adam Coleman Davis | Nurse Practitioner | 10024 Se 240th St, Kent, WA 98031-5124 | 2013-12-01 |
| 1902158249 | Vladimir Stovbyr | Optometrist | 10024 Se 240th St, Suite 220, Kent, WA 98031-5124 | 2012-10-10 |
| 1689990517 | Joan Mildenstein | Optometrist | 10024 Se 240th St, Kent, WA 98031-5124 | 2010-04-16 |
| 1518294560 | Kathryn Ann Swartz | Nurse Practitioner | 10024 Se 240th St, Suite 201, Kent, WA 98031-5124 | 2009-11-12 |
| 1821276759 | Mb2k, LLC | Clinic/Center | 10024 Se 240th St, Suite 201, Kent, WA 98031-5124 | 2008-02-01 |
| 1851588750 | Lewis S Lim and Associates Od Ps | Optometrist | 10024 Se 240th St, Ste 220, Kent, WA 98031-5124 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| Find all providers in zip 98031 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669944542 | Kent Chiropractic Associates LLC | Chiropractor | 27 N Main St Unit 7a, Kent, CT 06757-1551 | 2018-12-17 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1447622790 | Alex Williams | Chiropractor | 417 Ramsay Way Ste 113, Kent, WA 98032-4502 | 2015-10-27 |
| 1770962334 | Chelsea Blair Dalton-evans | Chiropractor | 4821 S Kent Des Moines Rd, Apt #224, Kent, WA 98032-4212 | 2015-05-28 |
| 1285070789 | Abigail Callahan | Chiropractor | 25412 62nd Ave S Apt Bb201, Kent, WA 98032-4975 | 2013-05-12 |
| 1376887042 | Amber Aiken | Chiropractor | 2108 State Route 59, Kent, OH 44240-7142 | 2012-11-19 |
| 1750682878 | Alisha Elizabeth Romney | Chiropractor | 24255 104th Ave Se, Kent, WA 98030-4972 | 2010-11-04 |
| 1922337898 | Ann Marie Swanson | Chiropractor | 11011 Se 218th St, Kent, WA 98031-2127 | 2009-12-23 |
| 1043449382 | Allan R. Mccord Ps | Chiropractor | 10830 Se Kent Kangley Rd Ste 101, Kent, WA 98030-9011 | 2009-07-08 |
| 1215165824 | Momyer Chiropractic and Massage, P.s. | Chiropractor | 24604 104th Ave. S.e., Suite 203, Kent, WA 98030-5385 | 2009-06-23 |
| Find all providers in KENT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.