Individual
BRADLEY DONALD KAASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
325 E 3RD ST, NORTH BEND, WA 98045-8250
(425) 831-2331
(866) 462-2960
Mailing address
PO BOX 911, NORTH BEND, WA 98045
(425) 831-2331
(425) 831-2244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117064
LABOR & INDUSTRIES
WA
01
—
OA3358
REGENCE BLUE SHIELD
WA
Enumeration date
10/12/2006
Last updated
01/22/2020
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