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Kruse Park Chiropractic Clinic Llc
Chiropractor in Lake Oswego, Oregon
NPI 1417233560

Kruse Park Chiropractic Clinic Llc is a Chiropractor based in Lake Oswego, OR. Kruse Park Chiropractic Clinic Llc practices in Lake Oswego, OR. The NPI Number for Kruse Park Chiropractic Clinic Llc is 1417233560 and holds a License No. 1674 (Oregon).

The current practice location address for Kruse Park Chiropractic Clinic Llc is 3990 Collins Way, Lake Oswego, OR and can be reached out via phone at 503-635-1236 and via fax at 503-697-4741.

Location: 3990 Collins Way, Lake Oswego, OR, 97035-3459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417233560
Provider Name
Kruse Park Chiropractic Clinic Llc
Credential
Provider Entity Type
Organization
Address
3990 Collins Way, Lake Oswego, OR, 97035-3459
Phone Number
503-635-1236
Fax Number
503-697-4741
Provider Enumeration Date
11/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R109099 01 OR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3990 Collins Way
City
Lake Oswego
State
Oregon
Zip
97035-3459
Phone Number
503-635-1236
Fax Number
503-697-4741
person
Provider Business Mailing Address Details
Address
3990 Collins Way
City
Lake Oswego
State
Oregon
Zip
97035-3459
Phone Number
503-635-1236
Fax Number
503-697-4741
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1674 (Oregon)
Definition
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.
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