| NPI | 1700069135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MARIE NEWCOMER Owner 360-750-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: WA CH00034005) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: OR 273264) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-12-01 |