MEDICARE: LEAH FOSTER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH61461443	WA

General Provider Information

NPI Number	:	1275398711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH FOSTER DC

Provider Business Mailing Address
First Line	:	4701 NE 72ND AVE APT 82
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98661-3697
Country	:	US
Telephone Number	:	503-360-8612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 NW 1ST WAY STE 113
Second Line	:
City	:	BATTLE GROUND
State	:	WA
Zip	:	98604-4560
Country	:	US
Telephone Number	:	360-687-3181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2024
Last Update Date	:	02/14/2024

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Directions to “ LEAH FOSTER DC” Practice Location

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