Individual
KATHLEEN KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301-2762
(503) 585-6388
(503) 485-3951
Mailing address
435 LANCASTER DR NE, SALEM, OR 97301-2762
(503) 585-6388
(503) 566-0212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2006501
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241310
—
OR
Enumeration date
12/08/2006
Last updated
06/16/2011
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