Individual
EMILY DUFFY KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2230 NW PETTYGROVE ST STE 110, PORTLAND, OR 97210-2659
(503) 224-4804
Mailing address
2230 NW PETTYGROVE ST STE 110, PORTLAND, OR 97210-2659
(503) 224-4804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15116
OR
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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