Provider Demographics
NPI:1639636822
Name:HANSEN CHIROPRACTIC
Entity Type:Organization
Organization Name:HANSEN CHIROPRACTIC
Other - Org Name:NATURAL WAY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINENDORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-671-1710
Mailing Address - Street 1:2000 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4218
Mailing Address - Country:US
Mailing Address - Phone:360-671-1710
Mailing Address - Fax:
Practice Address - Street 1:7620 NE 119TH PL STE 100
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-4170
Practice Address - Country:US
Practice Address - Phone:360-671-1710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANSEN CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-25
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty