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KRUSE PARK CHIROPRACTIC LLC
NPI 1700363389
Chiropractor in Lake Oswego, OR

Active since July 26, 2018
3990 COLLINS WAY STE 201, LAKE OSWEGO, OR 97035(503) 635-1236 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kruse Park Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRUSE PARK CHIROPRACTIC LLC (NPI 1700363389) is a healthcare organization registered as a chiropractor in Lake Oswego, Oregon and active in the NPI registry since July 2018. The organization lists Bronwyn Illingworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1700363389
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKRUSE PARK CHIROPRACTIC LLC
Location Address3990 COLLINS WAY STE 201Lake Oswego, OR 97035-3459
Mailing AddressPo Box 1609Lake Grove, OR 97035-0809
Phone(503) 635-1236
Organization SubpartNo
Authorized OfficialBronwyn IllingworthOwner · (503) 593-4719
Enumeration DateJuly 26, 2018
✔ NPI 1700363389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3897
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.
3990 COLLINS WAY STE 201, Lake Oswego, OR 97035
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN B KIERES LMT
Massage Therapist
3990 COLLINS WAY STE 201
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1236
MS. JANETTE MARIE WARREN LMP
Massage Therapist
3990 COLLINS WAY STE 201
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1236
CHERLYN DAVIS LMT
Mechanotherapist
3990 COLLINS WAY STE 201
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1236
TINA ALLEN
Massage Therapist
3990 COLLINS WAY STE 201
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1236
KAYTLIN LUCAS LMT, 21640
Mechanotherapist
3990 COLLINS WAY STE 201
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1236
DR. WILLA P HENDRICKSON D.C.
Chiropractor
3990 COLLINS WAY STE 201
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kruse Park Chiropractic LLC's NPI number?

The NPI number for Kruse Park Chiropractic LLC is 1700363389. It was assigned to this organization in the NPPES registry on July 26, 2018.

Where is Kruse Park Chiropractic LLC located?

Kruse Park Chiropractic LLC is located at 3990 Collins Way Ste 201, Lake Oswego, OR 97035. The listed phone number is (503) 635-1236.

What is Kruse Park Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Kruse Park Chiropractic LLC accept?

Health plans from Moda Health Plan, Inc. list Kruse Park Chiropractic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kruse Park Chiropractic LLC was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.