Active NPI
Linda Krug Porzelius, PH.D.
- Psychologist
- Bend, OR
National Provider Identifier
1306195383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1230
- Practice address
- 336 NE Norton Ave Ste 4
Bend, OR 97701-4386 - Phone
- (541) 419-5860
- Fax
- (541) 678-5972
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1230 | OR | Primary |
Addresses
Primary practice location
336 NE Norton Ave Ste 4
Bend, OR 97701-4386
Mailing address
336 NE Norton Ave Ste 4
Bend, OR 97701-4386
Phone (541) 419-5860
Other names 1
- Dr. Linda Marie Krug
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509062400000",
"number": "1306195383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 NE NORTON AVE STE 4",
"city": "BEND",
"state": "OR",
"postal_code": "977014386",
"telephone_number": "541-419-5860",
"fax_number": "541-678-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 NE NORTON AVE STE 4",
"city": "BEND",
"state": "OR",
"postal_code": "977014386",
"telephone_number": "541-419-5860",
"fax_number": "541-678-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORZELIUS",
"first_name": "LINDA",
"middle_name": "KRUG",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2017-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "KRUG",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.