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Organization

WALNUT GROUP MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUANE ALSEN REUER DC (DC)
(541) 963-7432
Entity
Organization

Contact information

Practice address
1502 NORTH PINE ST, LA GRANDE, OR 97850
(541) 963-7432
(541) 963-0597
Mailing address
1502 NORTH PINE ST, LA GRANDE, OR 97850
(541) 963-7432
(541) 963-0597

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
651161
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
173668502619
WORKER'S COMP
OR
01
196671
WORKER'S COMP
WA
05
196972
OR
Enumeration date
10/09/2007
Last updated
10/09/2007
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