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Organization
TRUONG LLC
Active
Organization
TRUONG LLC
Active
Parent organization
154601190
Other names
FOUNDATION CHIROPRACTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
154601190
Authorized official
THO TRUONG DC (OWNER)
(503) 267-2723
Entity
Organization
Contact information
Practice address
8035 SE HOLGATE BLVD, PORTLAND, OR 97206-3369
(503) 267-2723
(503) 974-2814
Mailing address
15292 SE LEWIS ST, HAPPY VALLEY, OR 97086-7338
(503) 267-2723
(503) 974-2814
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500760858
—
OR
Enumeration date
10/20/2020
Last updated
10/20/2020
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