Individual
MS. JACQUELINE JILL KRUMREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3620 NW SAMARITAN DR, SUITE 202, CORVALLIS, OR 97330-4714
(541) 768-4810
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11371
NV
207X00000X
Orthopaedic Surgery Physician
Primary
MD27030
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506769
—
NV
05
—
969488
—
AZ
01
—
P00376258
RAILROAD MEDICARE
—
05
—
XPY205013
—
CA
Enumeration date
03/14/2006
Last updated
11/05/2020
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