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Contact Information

SANDRA J KRUSSEL, DO
2250 NW FLANDERS ST
SUITE 306
PORTLAND, OR97210-3443
 Phone: 503-226-0558
 Fax: 503-276-1284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SANDRA J KRUSSEL · (Female)

NPI # 1073794988
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/19/2007
Last updated 02/22/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DO152642
  • OR Medicaid 500631009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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