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Individual

RICHARD O BROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC CLN

Contact information

Practice address
8800 SUNNYSIDE RD, #111, CLACKAMAS, OR 97015
(503) 654-3225
(503) 654-3056
Mailing address
8800 SE SUNNYSIDE RD, #111, CLACKAMAS, OR 97015
(503) 654-3225
(503) 654-3056

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
271359
OR
133N00000X
Nutritionist
10333348
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
11/01/2006
Last updated
09/11/2025
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