Individual
HANS ALBERT STENFERT KROESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T. MOMT
Contact information
Practice address
460 5TH ST, LAKE OSWEGO, OR 97034-3066
(503) 927-1012
Mailing address
460 5TH ST, LAKE OSWEGO, OR 97034-3066
(503) 927-1012
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
04304
OR
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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