Individual
DR. RICHARD HENRY KROKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
14205 SW ALLEN BLVD, BEAVERTON, OR 97005-4406
(503) 646-7145
(503) 646-7146
Mailing address
14205 SW ALLEN BLVD, BEAVERTON, OR 97005-4406
(503) 646-7145
(503) 646-7146
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4337
OR
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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