Individual
DR. VICKI SUE GILTHVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1428 AUBURN WAY S, AUBURN, WA 98002-6740
(253) 833-8150
(253) 833-2690
Mailing address
1428 AUBURN WAY S, AUBURN, WA 98002-6740
(253) 833-8150
(253) 833-2690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18134
LABOR AND INDUSTRY #
WA
01
—
8486300
WELFARE PROVIDER #
WA
01
—
G10325
REGENCE PROVIDER #
WA
Enumeration date
01/09/2007
Last updated
07/09/2007
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