# FRED R LOERTSCHER DC PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Loertscher Chiropractic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194725986
- **Authorized official:** DR. FRED RUDOLPH LOERTSCHER D.C. (PRESIDENT)
- **Authorized official phone:** (360) 532-6545

## Contact information

- **Practice address:** 1310 SIMPSON AVE, ABERDEEN, WA 98520-4704
- **Practice address phone:** (360) 532-6545
- **Practice address fax:** (360) 532-6549
- **Mailing address:** 1310 SIMPSON AVE, ABERDEEN, WA 98520-4704
- **Mailing address phone:** (360) 532-6545
- **Mailing address fax:** (360) 532-6549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | CH00000853 | WA | Yes |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 12/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13278 | DEPT OF LABOR & INDUSTRIE | WA |
| 05 | — | 2555803 | — | WA |
| 01 | — | LO 0307 | REGENCE INSURANCE CO | WA |