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Individual

DR. PETRA KRIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
120 NW 14TH AVE, STE 300, PORTLAND, OR 97209-2643
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
017195
ME
207L00000X
Anesthesiology Physician
35083476
OH
207L00000X
Anesthesiology Physician
Primary
MD26517
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2500449
OH
05
274549
OR
05
8486631
WA
Enumeration date
09/15/2006
Last updated
11/19/2007
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