Individual
DR. DOUGLAS ARTHUR NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1818 GROVE ST, MARYSVILLE, WA 98270-4330
(360) 653-6533
(360) 653-7201
Mailing address
5123 133RD PL NE, MARYSVILLE, WA 98271-7727
(360) 653-6533
(360) 653-7201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001060
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14608
WORKER'S COMPENSATION
WA
05
—
2007508
—
WA
Enumeration date
07/24/2006
Last updated
07/08/2007
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