Nicole Fortino

NPI 1063893683 · on the registry since 2015 · sole proprietor

Practice

Address: 12812 101st Ave Ct E
Puyallup, WA 98373
Phone: (253) 387-7011
Organisation at this address: Klein Chiropractic Clinic
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington