Organization
ADVANCED SPINAL FITNESS CHIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH TRENNER DC (PRESIDENT)
(503) 556-2353
Entity
Organization
Contact information
Practice address
101 5TH ST WEST, RAINIER, OR 97048-1641
(503) 556-2353
(503) 556-2353
Mailing address
PO BOX 1641, RAINIER, OR 97048-1641
(503) 556-2353
(503) 556-3065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
21717
OR
Other
Enumeration date
04/10/2006
Last updated
11/29/2007
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