| NPI | 1770785453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN FORSBERG Office Manager 509-943-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA ch00034531) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 025202ch00001599) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |