Organization
SANDRA J. KRUSSEL, DO, PSYCHIATRIST, LLC
Active
Other names
Sandra J. Krussel, DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA JANE KRUSSEL DO (SOLE MEMBER)
(503) 226-0558
Entity
Organization
Contact information
Practice address
2250 NW FLANDERS ST, 306, PORTLAND, OR 97210-3443
(503) 226-0558
(503) 276-1284
Mailing address
2250 NW FLANDERS ST, SUITE 306, PORTLAND, OR 97210-3443
(503) 226-0558
(503) 276-1284
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO152642
OR
Other
Enumeration date
02/21/2014
Last updated
02/22/2017
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