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Mark Fredericksen, N.D

NPI 1982777629 · on the registry since 2006 · sole proprietor

Practice

Address
2003 Se Maple Valley Hwy
Suite 212
Renton, WA 98057
Phone
(425) 652-2430
Fax
(425) 291-7899

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-28

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