Individual
ZACHARY PAUL KRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
3653 SE 34TH AVE, PORTLAND, OR 97202-3034
(503) 988-5140
Mailing address
4538 NE FAILING ST, PORTLAND, OR 97213-1058
(701) 516-2065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11806986-3102
UT
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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