Organization
RENEW CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN PETERSEN D.C. (CHIROPRACTOR, OWNER)
(503) 445-1188
Entity
Organization
Contact information
Practice address
3808 N WILLIAMS AVE, SUITE 133, PORTLAND, OR 97227-1467
(503) 445-1188
(503) 445-1189
Mailing address
3808 N WILLIAMS AVE, SUITE 133, PORTLAND, OR 97227-1467
(503) 445-1188
(503) 445-1189
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3688
OR
Other
Enumeration date
03/20/2007
Last updated
04/29/2011
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