Nordquist Integrated Medicine | |
9909 168th St E Ste 102, Puyallup, WA 98375-2513 | |
(253) 445-3000 | |
Not Available |
Full Name | Nordquist Integrated Medicine |
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Type | Facility |
Speciality | Integrative Medicine |
Location | 9909 168th St E Ste 102, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033838750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
202D00000X | Integrative Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Jonathan Nordquist |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912922105 PECOS PAC ID: 5294797445 Enrollment ID: I20050117000331 |
Provider Name | Shayne S Yocum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043511181 PECOS PAC ID: 1456508878 Enrollment ID: I20120820000941 |
Provider Name | Balraj S Khakh |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356901839 PECOS PAC ID: 2264763275 Enrollment ID: I20191004002731 |
Provider Name | Mason Michael Stahley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528712239 PECOS PAC ID: 7911351275 Enrollment ID: I20230921000052 |
Mailing Address | Practice Location Address |
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Nordquist Integrated Medicine 9909 168th St E Ste 102, Puyallup, WA 98375-2513 Ph: (253) 445-3000 | Nordquist Integrated Medicine 9909 168th St E Ste 102, Puyallup, WA 98375-2513 Ph: (253) 445-3000 |