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DR BARRY GJERDRUM PS NPI 1073715306


NPI Information

NPI: 1073715306
Provider Name: DR BARRY GJERDRUM PS

Doing Business As: LIFESTYLE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7010 WOODLAWN AVE NE
SEATTLE, WA
ZIP 98115
Phone: (206) 517-5433
Get Directions

DR BARRY GJERDRUM PS is a chiropractor in Seattle, WA. The provider is 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. DR BARRY GJERDRUM PS NPI is 1073715306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifestyle Chiropractic.

The provider's business location address is:

7010 WOODLAWN AVE NE
SEATTLE, WA
ZIP 98115-433
Phone: (206) 517-5433
Fax: (206) 517-5533

The provider's authorized official is Barry Gjerdrum .
The authorized official title is Owner and has the following contact phone number (206) 517-5433.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 4/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistMA00022012WASHINGTONNo
2111N00000XChiropractorCH00003329WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GAB34372MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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