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Organization

HARRY S KRULEWITCH, MD PC

Active
Other names
NW GERIATRICS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANICE L SPENCER (BUSINESS OFFICE MANAGER)
(360) 260-8225
Entity
Organization

Contact information

Practice address
4838 SW SCHOLLS FERRY RD, PORTLAND, OR 97225-1629
(360) 260-8225
(360) 397-0189
Mailing address
8404 NE 16TH ST, VANCOUVER, WA 98664-4078
(360) 260-8225
(360) 397-0189

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD10273
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287059
OR
Enumeration date
11/09/2006
Last updated
08/22/2020
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