Active NPI
Michael Adam Krall, MD
- Family Medicine Physician
- Longview, WA
National Provider Identifier
1043324262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- WA MD00034576
- Practice address
- 1230 7TH Ave
Longview, WA 98632-3166 - Phone
- (360) 575-4801
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OR MD12713 | OR | |
| Family Medicine Physician | 207Q00000X | WA MD00034576 | WA | Primary |
Addresses
Primary practice location
1230 7TH Ave
Longview, WA 98632-3166
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR MD12713 | OR | MD | Family Medicine Physician |
| WA MD00034576 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043324262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 7TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323166",
"telephone_number": "360-575-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRALL",
"first_name": "MICHAEL",
"middle_name": "ADAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "OR MD12713",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "WA MD00034576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.