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Organization
ASPEN INJURY CENTER LLC
Active
Organization
ASPEN INJURY CENTER LLC
Active
Other names
Aspen Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD RENEUA DC (OWNER)
(541) 767-3788
Entity
Organization
Contact information
Practice address
1260 E MAIN ST, COTTAGE GROVE, OR 97424-2217
(541) 767-3788
(541) 946-1057
Mailing address
1260 E MAIN ST, COTTAGE GROVE, OR 97424-2217
(541) 767-3788
(541) 946-1057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5112
CHIROPRACTIC
OR
Enumeration date
01/14/2019
Last updated
01/14/2019
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