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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH60169869 (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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- Anthony John Patrick Howells, DCChiropractor Enumclaw, WA NPI 1386741031
- Donna M. Quezada, DCChiropractor Enumclaw, WA NPI 1386788693
- Gary Dean Smith, DCChiropractor Enumclaw, WA NPI 1558505610
- Todd Alan Bergstrom, DCChiropractor Enumclaw, WA NPI 1598006397
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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.