Sandra J. Krussel, DO, Psychiatrist, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO152642 Issued in OR

Legal business name

SANDRA J. KRUSSEL, DO, PSYCHIATRIST, LLC

Practice address

2250 NW Flanders St
306
Portland, OR 97210-3443

Phone

(503) 226-0558

Fax

(503) 276-1284

NPI assigned

Feb 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sandra Jane Krussel, DO

Title

Sole Member

Phone

(503) 226-0558

Specialties & licenses 1

Addresses

Other names 1

• Sandra J. Krussel, DO Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1265857627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST",
            "address_2": "SUITE 306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103443",
            "telephone_number": "503-226-0558",
            "fax_number": "503-276-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST",
            "address_2": "306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103443",
            "telephone_number": "503-226-0558",
            "fax_number": "503-276-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA J. KRUSSEL, DO, PSYCHIATRIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "KRUSSEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-226-0558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "DO152642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra J. Krussel, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerstin Sandoz
• Chloe Anne Sandquist, M.D.
• Michael Anthony Sandquist, MD
• Sandra Bigelow Enterprises, LLC
• Sandra J Krussel DO Psychiatrist LLC
• Sandra M. Gonzalez
• Joan V Sands, LMT, LMP
• Vicki M. Sands, M.D.
• Ashley Sandsness, STUDENT, HEALTH CARE
• Ann Elizabeth Sandstedt, PT

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.