Kremkau, Edna Louise
Kremkau, Edna Louise is an individual health care provider with primary practice located at 507 Ne 47Th Ave Suite 200, Portland OR 97213-2236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Kremkau, Edna Louise can be contacted via phone (503) 215-2300.Contact Information
Primary practice address
507 Ne 47Th Ave Suite 200
Portland OR 97213-2236
Phone: (503) 215-2300
Fax: (503) 215-2283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD06932 | Oregon |
Profile Details
| NPI number | 1659363000 |
|---|---|
| LBN Legal business name | Kremkau, Edna Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659363000 | NPPES |
| Oregon | MEDICAID | 8222507 | |
| Oregon | MEDICAID | 261297 |
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