Individual
MS. MARY THORNBURG KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2100 NE BROADWAY ST, SUITE 101, PORTLAND, OR 97232-1569
(503) 449-9729
(503) 287-2801
Mailing address
2100 NE BROADWAY ST, SUITE 101, PORTLAND, OR 97232-1569
(503) 449-9729
(503) 287-2801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C 2231
OR
Other
Enumeration date
06/05/2007
Last updated
05/26/2014
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