Provider Demographics
NPI:1124138599
Name:KLUNGNESS, DAVID ERLING (DC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ERLING
Last Name:KLUNGNESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 SE CABOT DR STE 4
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-3702
Mailing Address - Country:US
Mailing Address - Phone:360-279-9955
Mailing Address - Fax:866-922-2457
Practice Address - Street 1:270 SE CABOT DR STE 4
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-3702
Practice Address - Country:US
Practice Address - Phone:360-279-9955
Practice Address - Fax:866-922-2457
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor