Individual
JAMES KRIPPAEHNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
833 SW 11TH AVE, PORTLAND, OR 97205-2125
(503) 224-7815
(503) 222-0029
Mailing address
833 SW 11TH AVE, PORTLAND, OR 97205-2117
(503) 224-7815
(503) 222-0029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6525
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
566090
UNITED CONCORDIA INSURANC
OR
Enumeration date
09/16/2005
Last updated
07/08/2007
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