Kruse Park Chiropractic LLC
NPI #1700363389 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1700363389
- Entity Type
- Organization
- Organization Name
- Kruse Park Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jul 26, 2018
- Last Updated
- Jul 26, 2018
Practice Location
- Address
- 3990 COLLINS WAY STE 201
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-3459
- Phone
- (503) 635-1236
Authorized Official
- Name
- DR. BRONWYN ILLINGWORTH, DC, MS, BS
- Title
- OWNER
- Phone
- (503) 593-4719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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