Individual
ROGER ALLEN BAARSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17303 SPANAWAY LOOP RD S, #36, SPANAWAY, WA 98387-9103
(253) 307-2748
Mailing address
PO BOX 716, SPANAWAY, WA 98387-0716
(253) 307-2748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 00001866
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH 00001866
WASHINGTON STATE
WA
Enumeration date
01/23/2009
Last updated
01/23/2009
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