Individual
REBEKKA KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
11615 SE TAYLOR ST, PORTLAND, OR 97216-3829
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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