NPI | 1659426625 |
---|---|
Doing Business As | KRUSE PARK CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | ELIZABETH WAKEMAN Manager 503-635-1236 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27-1674) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |