Sandra J Krussel D.O.

NPI 1073794988 - Psychiatry & Neurology - 2084P0015X

NPI Details
NPI 1073794988
Gender Female
Enumeration Date 11/19/2007
Last Updated 04/28/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
9155 SW BARNES RD
STE 333
PORTLAND OR, 97225-6630, US
Phone (503) 216-5102
Fax
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone (503) 215-6494
Fax (503) 215-6644
Toxanomy
Taxonomy Code 2084P0015X
License State Oregon
License Number DO152642
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According to our database, Dr. Sandra J Krussel D.O. NPI is 1073794988, taxonomy code is 2084P0015X and license number is DO152642, license state is located at Oregon. Sandra J Krussel D.O. physically located at 9155 Sw Barnes Rd, Portland OR, 97225-6630. NPI Number Sandra J Krussel D.O. has the Individual type.

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1073794988 NPI number is provided on an as is basis without warranty of any kind. 1073794988 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra J Krussel D.O. are for informational purposes only.