| NPI | 1265857627 |
|---|---|
| Doing Business As | SANDRA J. KRUSSEL, DO |
| Entity Type | Organization |
| Authorized Contact | SANDRA JANE KRUSSEL Sole Member 503-226-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO152642) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2017-02-22 |