Organization
WESTLAKE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK THOMAS HERESCO D.C. (PRESIDENT)
(541) 757-9933
Entity
Organization
Contact information
Practice address
14511 WESTLAKE DR, #148, LAKE OSWEGO, OR 97035-7783
(503) 620-2353
Mailing address
14511 WESTLAKE DR, #148, LAKE OSWEGO, OR 97035-7783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-1620
OR
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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