Kruse Park Chiropractic LLC
NPI 1700363389 · Chiropractor · Lake Oswego, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kruse Park Chiropractic LLC is a Chiropractor organization in Lake Oswego, OR (NPI 1700363389).
Provider details
- NPI number
- 1700363389
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Bronwyn Illingworth, Owner(503) 593-4719
- License
- 3897 (OR)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-26
- Last updated
- 2018-07-26
Frequently asked questions
- What is Kruse Park Chiropractic LLC's NPI number?
- Kruse Park Chiropractic LLC's National Provider Identifier (NPI) is 1700363389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kruse Park Chiropractic LLC?
- Kruse Park Chiropractic LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Kruse Park Chiropractic LLC located?
- Kruse Park Chiropractic LLC's practice location on file with NPPES is 3990 Collins Way Ste 201, Lake Oswego, OR 97035-3459.
- What is Kruse Park Chiropractic LLC's phone number?
- The practice phone number listed in the NPPES registry for Kruse Park Chiropractic LLC is (503) 635-1236.
- Does Kruse Park Chiropractic LLC accept Medicare?
- Kruse Park Chiropractic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kruse Park Chiropractic LLC?
- The authorized official listed on Kruse Park Chiropractic LLC's NPPES record is Bronwyn Illingworth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kruse Park Chiropractic LLC's NPI active?
- Yes — Kruse Park Chiropractic LLC's NPI (1700363389) is active in the NPPES registry as of the last update on 2018-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.