| NPI | 1457684136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L BERGFORS President 206-914-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: WA CH00034169) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |