Provider Demographics
NPI:1598946253
Name:GILBERTSON, ERIK WILLIAM (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:WILLIAM
Last Name:GILBERTSON
Suffix:
Gender:M
Credentials:DC, ND
Other - Prefix:
Other - First Name:PUGET SOUND
Other - Middle Name:
Other - Last Name:NATURAL MEDICINE, LLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 578
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-0100
Mailing Address - Country:US
Mailing Address - Phone:253-579-3958
Mailing Address - Fax:253-845-5252
Practice Address - Street 1:1420 S MERIDIAN
Practice Address - Street 2:SUITE A
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-6914
Practice Address - Country:US
Practice Address - Phone:253-579-3958
Practice Address - Fax:253-845-5252
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033875111N00000X
WANT00001624175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
MG 1720108OtherDEA
WA473365235OtherEIN
WA473365235OtherEIN