| NPI | 1841054368 |
|---|---|
| Doing Business As | SANDRA J KRUSSEL DO |
| Entity Type | Organization |
| Authorized Contact | SANDRA JANE KRUSSEL Sole Member 503-276-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |