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Organization

FRED R LOERTSCHER DC PS

Active
Other names
Loertscher Chiropractic Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRED RUDOLPH LOERTSCHER D.C. (PRESIDENT)
(360) 532-6545
Entity
Organization

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
111NN0400X
Neurology Chiropractor
Primary
CH00000853
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13278
DEPT OF LABOR & INDUSTRIE
WA
05
2555803
WA
01
LO 0307
REGENCE INSURANCE CO
WA
Enumeration date
07/22/2005
Last updated
12/19/2007
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