Organization
KEANU CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY SANCHEZ-ROSA DC (OWNER)
(503) 481-3369
Entity
Organization
Contact information
Practice address
4727 N WILLIAMS AVE, PORTLAND, OR 97217-2829
(503) 481-3369
Mailing address
4727 N WILLIAMS AVE, PORTLAND, OR 97217-2829
(503) 481-3369
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5869
OBCE
OR
Enumeration date
12/08/2022
Last updated
12/08/2022
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