Individual
ADRIAN MICHAEL KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15090
CA
363A00000X
Physician Assistant
Primary
PA151076
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500623615
—
OR
05
—
PA15090
—
CA
Enumeration date
06/16/2006
Last updated
04/15/2013
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