Individual
KATHLEEN KRASSELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
389 E HIST COL RVR HWY, TROUTDALE, OR 97060-2075
(503) 442-1815
Mailing address
389 E HIST COL RVR HWY, TROUTDALE, OR 97060-2075
(503) 442-1815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15568
OR
Other
Enumeration date
03/01/2011
Last updated
09/22/2014
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