NPI 1023745809

Ryan Edward Kraus

Practitioner Personal Care Attendant Portland, OR

Practice location

Address: 13317 SE Powell Blvd, Portland, OR 97236-3335
Phone: (500) 760-9606
Mailing address: PO Box 8459, Portland, OR 97207-8459

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1023745809
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2022
Record last updated: 2 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.