Individual
DR. JONATHAN MICHAEL KRASINKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8023
(503) 494-8898
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8023
(503) 494-8898
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD215246
OR
2080P0214X
Pediatric Pulmonology Physician
Primary
MD215246
OR
390200000X
Student in an Organized Health Care Education/Training Program
01083902A
IN
Other
Enumeration date
04/30/2017
Last updated
07/01/2023
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