Individual
HARRY SCOTT KRULEWITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 SW CORONADO ST, PORTLAND, OR 97219-7625
(360) 260-8225
Mailing address
1101 SW CORONADO ST, PORTLAND, OR 97219-7625
(360) 260-8225
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD10273
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287059
—
OR
Enumeration date
07/10/2006
Last updated
11/15/2007
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