Sandra J Krussel DO Psychiatrist LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SANDRA J KRUSSEL DO PSYCHIATRIST LLC

Doing business as

Sandra J Krussel DO

Practice address

2250 NW Flanders St Ste 306
Portland, OR 97210-5411

Phone

(503) 276-1297

Fax

(503) 206-0613

NPI assigned

Feb 7, 2024

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, DONPI 1073794988

Title

Sole Member

Phone

(503) 276-1297

Specialties & licenses 1

Addresses

Other names 1

• Sandra J Krussel DO Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra J Krussel, D.O.

  • Psychiatry Physician
  • Portland, OR
  • NPI 1073794988
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1841054368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105411",
            "telephone_number": "503-276-1297",
            "fax_number": "503-206-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105411",
            "telephone_number": "503-276-1297",
            "fax_number": "503-206-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA J KRUSSEL DO PSYCHIATRIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-06",
        "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": "503-276-1297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra J Krussel DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyndsey Sandow, MD
• 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

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.