1. Home
  2. Directory
  3. Washington
  4. Gig Harbor
  5. Chiropractor
  6. NPI Profile

HARBOR LIFE CHIROPRACTIC PC
NPI 1265892194
Chiropractor in Gig Harbor, WA

Active since March 04, 2016
11511 CANTERWOOD BLVD NW STE 210, GIG HARBOR, WA 98332(253) 858-5152(253) 858-5153 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Harbor Life Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBOR LIFE CHIROPRACTIC PC (NPI 1265892194) is a healthcare organization registered as a chiropractor in Gig Harbor, Washington and active in the NPI registry since March 2016. The organization lists Jamie Mullen, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1265892194
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHARBOR LIFE CHIROPRACTIC PC
Location Address11511 CANTERWOOD BLVD NW STE 210Gig Harbor, WA 98332-5818
Mailing Address11511 Canterwood Blvd Nw Ste 210Gig Harbor, WA 98332-5818 · (253) 858-5152 · Fax (253) 858-5153
Phone(253) 858-5152
Fax(253) 858-5153
Organization SubpartNo
Authorized OfficialJamie MullenChiropractor · (253) 380-4570
Enumeration DateMarch 4, 2016
Last NPPES UpdateApril 22, 2016
✔ NPI 1265892194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
11511 CANTERWOOD BLVD NW STE 210, Gig Harbor, WA 98332
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor Life Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Harbor Life Chiropractic PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Bo Mullen, D.C.
Chiropractic
NPI 1356726657
11511 CANTERWOOD BLVD NW STE 210
Gig Harbor, WA 98332
(253) 858-5152
✔ Accepts Medicare0.2 mi
Jamie Mullen, D.C.
Chiropractic
NPI 1528443827
11511 CANTERWOOD BLVD NW STE 210
Gig Harbor, WA 98332
(253) 863-5323
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Life Chiropractic PC's NPI number?

The NPI number for Harbor Life Chiropractic PC is 1265892194. It was assigned to this organization in the NPPES registry on March 4, 2016.

Where is Harbor Life Chiropractic PC located?

Harbor Life Chiropractic PC is located at 11511 Canterwood Blvd NW Ste 210, Gig Harbor, WA 98332. The listed phone number is (253) 858-5152.

What is Harbor Life Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Harbor Life Chiropractic PC enrolled in Medicare?

Yes. Harbor Life Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor Life Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Harbor Life Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Harbor Life Chiropractic PC was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.