Provider Demographics
NPI:1235989377
Name:SUSTAINABLE ALIGNMENT, LLC
Entity Type:Organization
Organization Name:SUSTAINABLE ALIGNMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-416-4602
Mailing Address - Street 1:1867 SE ANSPACH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-2619
Mailing Address - Country:US
Mailing Address - Phone:610-416-4602
Mailing Address - Fax:
Practice Address - Street 1:1107 7TH ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2407
Practice Address - Country:US
Practice Address - Phone:503-656-1415
Practice Address - Fax:503-722-3938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty