Individual
DR. BRETT RENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., L.AC
Contact information
Practice address
1095 LIBERTY ST SE, SALEM, OR 97302-4140
(503) 585-1282
(503) 585-5531
Mailing address
1095 LIBERTY ST SE, SALEM, OR 97302-4140
(503) 585-1282
(503) 585-5531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4042
OR
171100000X
Acupuncturist
AC153703
OR
Other
Enumeration date
09/22/2010
Last updated
04/14/2011
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