Individual
TIMOTHY J KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
232 N SPRUCE ST., CANNON BEACH, OR 97110-0953
(503) 436-8772
Mailing address
PO BOX 953, CANNON BEACH, OR 97110-0953
(503) 436-8772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1458
OR
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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