Individual
DR. JOHN O RENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR OF CHIROPRACTIC
Contact information
Practice address
1095 LIBERTY ST SE, SALEM, OR 97302
(503) 585-1282
(503) 585-5531
Mailing address
1095 LIBERTY ST SE, SALEM, OR 97302
(503) 585-1282
(503) 585-5531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271348
OR
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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