Provider Demographics
NPI:1033838750
Name:NORDQUIST INTEGRATED MEDICINE
Entity Type:Organization
Organization Name:NORDQUIST INTEGRATED MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYNDSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-445-3000
Mailing Address - Street 1:9909 168TH ST E STE 102
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-2513
Mailing Address - Country:US
Mailing Address - Phone:253-445-3000
Mailing Address - Fax:
Practice Address - Street 1:9909 168TH ST E STE 102
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-2513
Practice Address - Country:US
Practice Address - Phone:253-445-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty