Individual
SIMON BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9123 SE SAINT HELENS ST STE 185, CLACKAMAS, OR 97015-6800
(503) 206-5042
(503) 206-5751
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6288
OR
Other
Enumeration date
04/12/2023
Last updated
08/24/2024
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