Kruse Park Chiropractic Clinic Llc

LBN: Kruse Park Chiropractic Clinic Llc
Kruse Park Chiropractic Clinic Llc is an health care organization with primary practice located at 3990 Collins Way 201, Lake Oswego OR 97035-3459. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Kruse Park Chiropractic Clinic Llc can be contacted via phone (503) 635-1236, or through Galligan, Kathleen M via phone (503) 635-1236.

Contact Information

Primary practice address
3990 Collins Way 201 Lake Oswego OR 97035-3459
Phone: (503) 635-1236
Fax: (503) 697-4741
Website:
Map and Directions
Authorized official contact:
Name: Galligan, Kathleen M Doctor of Chiropractic (DC)
Phone: (503) 635-1236

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1674 Oregon

Profile Details

NPI number 1417233560
LBN Legal business name Kruse Park Chiropractic Clinic Llc
DBA Doing business as
Authorized official Galligan, Kathleen M Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2011
Last updated Jul 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417233560 NPPES
Oregon Other R109099 MEDICARE PTAN

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