Individual
PETER KRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
65476
OR
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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