Individual provider · Type 1 NPI

Justin Andrew Bergstrom, DC

Chiropractor · Enumclaw, WA

NPI number 1740590884 Active

Practice location

2627 Griffin Ave.
Enumclaw, WA 98022

Mailing address

PO Box 727
Enumclaw, WA 98022-0727

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH60169869 (WA)

Chiropractor: 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.

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About NPI 1740590884

Justin Andrew Bergstrom, DC's National Provider Identifier is 1740590884, issued on Oct 7, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Enumclaw, WA. The record was last updated on Oct 7, 2010.