Individual
DR. RICHARD MILLER KREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 229-6990
Mailing address
5815 NE GOING ST, PORTLAND, OR 97218-2636
(503) 348-0459
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
1421
OR
207R00000X
Internal Medicine Physician
Primary
170913
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1421
LICENSE NUMBER
OR
Enumeration date
02/14/2007
Last updated
06/08/2015
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