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Individual

MRS. SUMMER KRAUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
565 CHICAGO AVE, GLADSTONE, OR 97027-2101
(503) 998-7880

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164936
OR
Enumeration date
02/23/2007
Last updated
03/26/2008
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