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Individual

ANDREW D KROEKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9200 SE 91ST AVE STE 240, HAPPY VALLEY, OR 97086-3756
(541) 231-5343
Mailing address
9200 SE 91ST AVE STE 240, HAPPY VALLEY, OR 97086-3756
(541) 231-5343

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301094358
MI
207Y00000X
Otolaryngology Physician
Primary
MD172862
OR
208600000X
Surgery Physician
MD172862
OR
390200000X
Student in an Organized Health Care Education/Training Program
4301094358
MI

Other

Enumeration date
06/25/2009
Last updated
05/12/2026
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