Individual
EDNA LOUISE KREMKAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 NE 47TH AVE, SUITE 200, PORTLAND, OR 97213-2236
(503) 215-2300
(503) 215-2283
Mailing address
975 SE SANDY BLVD, SUITE 200, PORTLAND, OR 97214-1308
(503) 963-2846
(503) 963-9505
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD06932
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261297
—
OR
05
—
8222507
—
OR
Enumeration date
08/19/2005
Last updated
07/09/2007
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