Kruse Park Chiropractic LLC
NPI 1700363389ActiveOrganization· Chiropractor· Lake Oswego, OR
Chiropractor in Lake Oswego, Oregon, registered in NPPES in July 2018. The authorized official on file is Bronwyn Illingworth, DC, MS, BS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700363389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2018 |
| Last updated in NPPES | Jul 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3897 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Chiropractor providers in Lake Oswego
- 1386369429
- 1396597738
- 1134776487
- 1518137553
- 1033072251
- 1760758361
- 1659426625
- 1982725719
- 1821015637
- 1417233560
- 1336307677
- 1033399738