Individual
DR. FRED RUDOLPH LOERTSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1310 SIMPSON AVE, ABERDEEN, WA 98520-4704
(360) 532-6545
(360) 532-6549
Mailing address
1310 SIMPSON AVE, ABERDEEN, WA 98520-4704
(360) 532-6545
(360) 532-6549
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
CH00000853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13278
DEPT OF LABOR AND INDUSTR
WA
01
—
LO0307
REGENCE BLUESHIELD
WA
Enumeration date
01/12/2007
Last updated
07/08/2007
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