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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