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Organization
PERIPHERAL NERVE CLINIC, PS
Active
Organization
PERIPHERAL NERVE CLINIC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE HANSEN DC (OWNER)
(360) 933-1405
Entity
Organization
Contact information
Practice address
2000 N STATE ST, BELLINGHAM, WA 98225-4218
(360) 933-1405
Mailing address
2000 N STATE ST, BELLINGHAM, WA 98225-4218
(360) 933-1405
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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