{"npi":"1700363389","type":"NPI-2","status":"active","name":{"display":"Kruse Park Chiropractic LLC","other":[],"organization_name":"KRUSE PARK CHIROPRACTIC LLC","authorised_official":"Bronwyn Illingworth"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"OR","license":"3897"}]},"addresses":[{"purpose":"LOCATION","street_1":"3990 COLLINS WAY STE 201","city":"LAKE OSWEGO","state":"OR","postal_code":"970353459","country_code":"US","phone":"5036351236"},{"purpose":"MAILING","street_1":"PO BOX 1609","city":"LAKE GROVE","state":"OR","postal_code":"970350809","country_code":"US"}],"license":{"state":"OR","number":"3897"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20191122002671","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OR","pac_id":"9032453568"}]},"enumeration_date":"2018-07-26","last_updated":"2018-07-26","_meta":{"source":"NPPES","snapshot_date":"2018-07-26","doc_url":"https://findmynpi.com/api"}}