{"npi":"1982124046","type":"NPI-2","status":"active","name":{"display":"Mill Creek Spine And Injury, Inc., P.S.","other":[],"organization_name":"MILL CREEK SPINE AND INJURY, INC., P.S.","authorised_official":"Ryan Doerge"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1112 76TH AVE NE","city":"LAKE STEVENS","state":"WA","postal_code":"982583201","country_code":"US","phone":"4253446835"},{"purpose":"MAILING","street_1":"1112 76TH AVE NE","city":"LAKE STEVENS","state":"WA","postal_code":"982583201","country_code":"US","phone":"4253446835"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20171109002001","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"9335405265"}]},"enumeration_date":"2017-06-21","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}