Individual
MELINDA CLAIRE KRASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
64890 E RIVERSIDE DR, BRIGHTWOOD, OR 97011-8724
(503) 622-0645
Mailing address
64890 E RIVERSIDE DR, BRIGHTWOOD, OR 97011-8724
(503) 622-0645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1351
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181097
—
OR
Enumeration date
09/03/2008
Last updated
09/03/2008
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