Individual
MR. CHRISTOPHER KARL KRUEBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9465 THIRD STREET, BAY CITY, OR 97107
(541) 450-7991
(541) 472-0009
Mailing address
PO BOX 3575, BAY CITY, OR 97107-3575
(541) 450-7991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11664
LA
1041C0700X
Clinical Social Worker
23581
CA
1041C0700X
Clinical Social Worker
Primary
L5771
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R171558
MEDICARE PART B PTAN
OR
Enumeration date
06/10/2008
Last updated
05/16/2014
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