Individual
DR. PETER MICHAEL KROOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE SOUTH, PORTLAND, OR 97227-1196
(503) 331-6152
Mailing address
3500 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE SOUTH, PORTLAND, OR 97227-1196
(503) 331-6152
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD11650
OR
Other
Enumeration date
08/30/2006
Last updated
08/26/2008
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