Ryan Edward Kraus
Technician, Personal Care Attendant in Portland, OR. Individual provider (NPI-1).
NPI number1023745809
StatusActive
Last updated in NPPESAug 2, 2022
Details
- NPI
- 1023745809
- Entity type
- Individual (NPI-1)
- Name
- Ryan Edward Kraus
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2022
- Certification date
- Aug 2, 2022
- Last updated
- Aug 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
13317 Se Powell BlvdPortland, OR 97236-3335
Phone 500-760-9606
Mailing address
Po Box 8459Portland, OR 97207-8459
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