Individual
MR. MARCUS RICHARD KRUMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756-2558
(541) 923-2654
(541) 548-8099
Mailing address
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756-2558
(541) 923-2654
(541) 548-8099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-5479
OR
175T00000X
Peer Specialist
Primary
25-CRM-4214
OR
Other
Enumeration date
04/17/2025
Last updated
10/21/2025
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