Individual
BARRY GJERDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7010 WOODLAWN AVE NE, SEATTLE, WA 98115-5433
(206) 517-5433
(206) 517-5533
Mailing address
7010 WOODLAWN AVE NE, SEATTLE, WA 98115-5433
(206) 517-5433
(206) 517-5533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003329
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128517
DLI NUMBER
WA
01
—
GJ4723
REGENCE RYDER NUMBER
WA
Enumeration date
01/23/2007
Last updated
07/08/2007
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