Organization
THOMAS V KRUSE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS V KRUSE M.D. (PRESIDENT)
(503) 370-7364
Entity
Organization
Contact information
Practice address
1410 COMMERCIAL STREET SE, SALEM, OR 97302-4308
(503) 370-7364
Mailing address
1410 COMMERCIAL ST SE, SALEM, OR 97302-4308
(503) 370-7364
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD111505
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218644
—
OR
Enumeration date
10/24/2006
Last updated
08/22/2020
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