Kruse Park Chiropractic Clinic LLC
NPI #1417233560 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1417233560
- Entity Type
- Organization
- Organization Name
- Kruse Park Chiropractic Clinic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 2, 2011
- Last Updated
- Jul 9, 2012
Practice Location
- Address
- 3990 COLLINS WAY
- Address 2
- 201
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-3459
- Phone
- (503) 635-1236
Authorized Official
- Name
- KATHLEEN M GALLIGAN, D.C.
- Title
- OWNER
- Phone
- (503) 635-1236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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