Individual
JEFF A. KRAAKEVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7230
Mailing address
3181 SW SAM JACKSON PARK RD: OP32, PORTLAND, OR 97239-3098
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD25200
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269652
—
OR
Enumeration date
10/09/2006
Last updated
07/16/2007
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