Individual
MR. MATTHEW WILLIAM KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, EMTB
Contact information
Practice address
4950 SE ROETHE RD., MILWAUKIE, OR 97267
(503) 353-5880
Mailing address
3124 NE PACIFIC ST., PORTLAND, OR 97232
(503) 232-0916
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OR
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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