Individual
DR. HERBERT A KROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
(971) 282-0086
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD00047890
WA
2084N0400X
Neurology Physician
MD00047890
WA
2084N0400X
Neurology Physician
Primary
MD156921
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220345
L & I
WA
05
—
500618206
—
OR
05
—
8480774
—
WA
Enumeration date
07/06/2006
Last updated
03/19/2021
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