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Active NPI 1245459718 Individual Practitioner Male Practitioner

Dr. Sky Boulom , DC

Chiropractor • Lynnwood, WA

Professional Overview & Biography Verified Profile Summary

Dr. Sky Boulom, DC is a registered healthcare professional specializing in Chiropractor in Lynnwood, WA. Practice services are available at 15608 18TH PL W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15608 18th Pl W

Lynnwood, WA 980878800

Telephone 4257738553
Associated Practice Facility / Clinic
🏢 Boulom Chiropractic Ps Inc Facility NPI 1396070488

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lynnwood, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
50 Specialists

Practicing in Lynnwood, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00003526

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Labor & Industries
0252664 (WA)

Secondary Practice Locations

710a S 38th St

Tacoma, WA 984186718

Phone: 2538306899

15608 18th Pl W

Lynnwood, WA 980878800

Phone: 4257738553

757 Rainier Ave S Ste 3

Renton, WA 980573200

Phone: 4252555886

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1235250036

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2018

Registered at 15608 18TH PL W, LYNNWOOD, WA 980878800 (Tel: 4257738553)

📍
Updated Business Mailing Address January 19, 2018

Registered at 15608 18TH PL W, LYNNWOOD, WA 980878800 (Tel: 4257738553)

👤
Provider Name / Credentials Updated January 19, 2018

Recorded as SKY BOULOM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Chiropractor (License #CH00003526 in WA)

NPI Profile Active June 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2010

Registered at 15608 18TH PL W, LYNNWOOD, WA 980878800 (Tel: 4257738553)

📍
Updated Business Mailing Address June 04, 2010

Registered at 15608 18TH PL W, LYNNWOOD, WA 980878800 (Tel: 4257738553)

👤
Provider Name / Credentials Updated June 04, 2010

Recorded as SKY BOULOM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2010

Chiropractor (License #CH00003526 in WA)

🟢
Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245459718
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

15608 18th Pl W

Lynnwood, WA 980878800

Phone: 4257738553

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.