Individual
ANTOINETTE KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 NE GLISAN ST STE 1R29, PORTLAND, OR 97213-2933
(971) 415-5466
Mailing address
4805 NE GLISAN ST STE 1R29, PORTLAND, OR 97213-2933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
OR
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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