Individual
ALFONS LUCIAN KROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-3376
Mailing address
01333 SW MARY FAILING DR, PORTLAND, OR 97219-8345
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
MD24086
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286424
—
OR
Enumeration date
07/31/2006
Last updated
07/08/2007
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