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1033481320
TIMOTHY CHARLES KRUTH
HILLSBORO, OR
NPI
1033481320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201607743NP)
Enumeration Date
2012-02-01
Last Update Date
2020-04-20
Business Address
TIMOTHY CHARLES KRUTH NP
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124-9224
Phone number: 503-848-5861
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Mailing Address
TIMOTHY CHARLES KRUTH NP
7320 SW HUNZIKER RD STE 300
PORTLAND, OR 97223-2302
Phone number: 503-941-3077
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