Individual
SAMUEL KRULEWITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 200-8350
Mailing address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 200-8350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11139
OR
372600000X
Adult Companion
—
—
Other
Enumeration date
03/28/2017
Last updated
12/11/2023
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