Individual
DR. LARRY THOMAS BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15800 UPPER BOONES FERRY RD, SUITE 400, LAKE OSWEGO, OR 97035-4085
(503) 597-8352
Mailing address
15800 UPPER BOONES FERRY RD, SUITE 400, LAKE OSWEGO, OR 97035-4085
(503) 597-8352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5120
OR
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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