Active NPI
Christopher William Kryger, LCSW
- Clinical Social Worker
- Lake Oswego, OR
National Provider Identifier
1215065792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2037
- Practice address
- 420 South State Street
Lake Oswego, OR 97034 - Phone
- (503) 675-2234
- NPI assigned
- Feb 28, 2007
- Reactivated
- Jul 14, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2037 | OR | Primary |
Addresses
Primary practice location
420 South State Street
Lake Oswego, OR 97034
Mailing address
PO Box 368
Marylhurst, OR 97036
Phone (503) 675-2234
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2037 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiecare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Residential Treatment Facility
- Marylhurst, OR
- NPI 1881637809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1215065792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "MARYLHURST",
"state": "OR",
"postal_code": "97036",
"telephone_number": "503-675-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 SOUTH STATE STREET",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "97034",
"telephone_number": "503-675-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYGER",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2009-07-14",
"deactivation_date": "2007-07-17",
"reactivation_date": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "2037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.