Individual
DR. JAMES GLEN CROISANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
13033 SE RUSK RD, MILWAUKIE, OR 97222-2107
(503) 656-8098
Mailing address
13033 SE RUSK RD, MILWAUKIE, OR 97267
(503) 656-8098
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1390
OR
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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