Individual
HILLARY KRUEGER ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
450 S KITSAP BLVD STE 100, PORT ORCHARD, WA 98366-3709
(360) 744-6275
(360) 744-6270
Mailing address
450 S KITSAP BLVD STE 100, PORT ORCHARD, WA 98366-3709
(360) 744-6275
(360) 744-6270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60048381
WA
363AM0700X
Medical Physician Assistant
4660
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289408
STATE L&I
WA
01
—
0289410
STATE L&I
WA
01
—
0289411
STATE L&I
WA
01
—
0289414
STATE L&I
WA
01
—
0289416
STATE L&I
WA
01
—
0302313
STATE L&I
WA
05
—
2000370
—
WA
05
—
549709
—
AZ
Enumeration date
10/28/2008
Last updated
01/05/2023
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