Krussel, Sandra J

Krussel, Sandra J is an individual health care provider with primary practice located at 2250 Nw Flanders St Suite 306, Portland OR 97210-3443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Krussel, Sandra J can be contacted via phone (503) 226-0558.

Contact Information

Primary practice address
2250 Nw Flanders St Suite 306 Portland OR 97210-3443
Phone: (503) 226-0558
Fax: (503) 276-1284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DO152642 Oregon
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X DO152642 Oregon

Profile Details

NPI number 1073794988
LBN Legal business name Krussel, Sandra J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Feb 22nd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073794988 NPPES
Oregon MEDICAID 500631009

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