Organization
SUSANS ACUPUNCTURE & HERBAL CLINIC PS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MARIE BRADBURY LAC, MACOM (PRESIDENT)
(360) 714-1185
Entity
Organization
Contact information
Practice address
901 HARRIS AVE, BELLINGHAM, WA 98225-7006
(360) 714-1185
(360) 714-1159
Mailing address
901 HARRIS AVE, BELLINGHAM, WA 98225-7006
(360) 714-1185
(360) 714-1159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB 17740
MEDICARE
WA
Enumeration date
01/28/2011
Last updated
03/29/2011
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