| Nordquist Integrated Medicine | |
|
9909 168th St E Ste 102, Puyallup, WA 98375-2513 | |
| (253) 445-3000 | |
| Not Available |
| Full Name | Nordquist Integrated Medicine |
|---|---|
| Type | Facility |
| Speciality | Integrative Medicine |
| Location | 9909 168th St E Ste 102, Puyallup, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033838750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 202D00000X | Integrative Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan Nordquist |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912922105 PECOS PAC ID: 5294797445 Enrollment ID: I20050117000331 |
| Provider Name | Shayne S Yocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043511181 PECOS PAC ID: 1456508878 Enrollment ID: I20120820000941 |
| Provider Name | Balraj S Khakh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356901839 PECOS PAC ID: 2264763275 Enrollment ID: I20191004002731 |
| Provider Name | Mason Michael Stahley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528712239 PECOS PAC ID: 7911351275 Enrollment ID: I20230921000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Nordquist Integrated Medicine 9909 168th St E Ste 102, Puyallup, WA 98375-2513 Ph: (253) 445-3000 | Nordquist Integrated Medicine 9909 168th St E Ste 102, Puyallup, WA 98375-2513 Ph: (253) 445-3000 |