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Deactivated NPI 1063561165 Deactivated / Inactive NPI Male Practitioner

Harley Dale Gilthvedt

Chiropractor • Auburn, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Harley Gilthvedt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2007
NPI Deactivation Date October 02, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Harley Gilthvedt was a registered Chiropractor practicing in Auburn, WA. Throughout an active medical career spanning 10 years, Harley Gilthvedt provided care at the practice location at 1428 AUBURN WAY S until profile deactivation on 2017-10-02.

Practice Location & Contact Primary Location

Practice Address

1428 Auburn Way S

Auburn, WA 980026740

Telephone 2538338150
Fax 2538832690
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Auburn, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
33 Specialists

Practicing in Auburn, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00000728

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1063561264

Doctor of Chiropractic

NPI 1770863334

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2017

Record deactivated on October 02, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1428 AUBURN WAY S, AUBURN, WA 980026740 (Tel: 2538338150)

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Updated Business Mailing Address July 09, 2007

Registered at 1428 AUBURN WAY S, AUBURN, WA 980026740 (Tel: 2538338150)

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Provider Name / Credentials Updated July 09, 2007

Recorded as HARLEY GILTHVEDT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Chiropractor (License #CH00000728 in WA)

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Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063561165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: July 09, 2007
Deactivation Date: October 02, 2017

Mailing Address

1428 Auburn Way S

Auburn, WA 980026740

Phone: 2538338150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.