Individual provider · Type 1 NPI
Richard O. Brouse, DC CLN
Nutrition Education Nutritionist · Clackamas, OR
NPI number
1871670588
Active
Practice location
8800 Sunnyside Rd, #111
Clackamas, OR 97015
Fax (503) 654-3056
Mailing address
8800 SE Sunnyside Rd, #111
Clackamas, OR 97015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 271359 (OR) |
| Nutritionist | 133N00000X | 10333348 |
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
About NPI 1871670588
Richard O. Brouse, DC CLN's National Provider Identifier is 1871670588, issued on Nov 1, 2006. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Clackamas, OR. The record was last updated on Sep 11, 2025.