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NPI Code Detail

MEDICARE: DR. C J BARTNESS D.C.

MEDICARE: DR. C J BARTNESS D.C.
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
1111N00000XChiropractor974WA

General Provider Information

NPI Number : 1295793636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. C J BARTNESS D.C.
Provider Business Mailing Address
First Line : 1060 HUDSON ST
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-3103
Country : US
Telephone Number : 360-636-2470
Fax Number : 360-423-9320
Provider Business Practice Location Address
First Line : 831 12TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2403
Country : US
Telephone Number : 360-636-2470
Fax Number : 360-636-5009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 08/29/2018

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Directions to “ DR. C J BARTNESS D.C.” Practice Location

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