Active NPI
Harry S Krulewitch, MD PC
Doing business as NW Geriatrics
- Geriatric Medicine (Family Medicine) Physician
- Portland, OR
National Provider Identifier
1982774543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD10273
- Legal business name
- HARRY S KRULEWITCH, MD PC
- Doing business as
- NW Geriatrics
- Practice address
- 4838 SW Scholls Ferry Rd
Portland, OR 97225-1629 - Phone
- (360) 260-8225
- Fax
- (360) 397-0189
- NPI assigned
- Nov 9, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janice L Spencer
- Title
- Business Office Manager
- Phone
- (360) 260-8225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD10273 | OR | Primary |
Addresses
Primary practice location
4838 SW Scholls Ferry Rd
Portland, OR 97225-1629
Mailing address
8404 NE 16TH St
Vancouver, WA 98664-4078
Phone (360) 260-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287059 | Medicaid | OR |
Other names 1
- NW GERIATRICS
National Provider Directory
National Provider DirectoryLocations
4838 SW Scholls Ferry Rd
Portland, OR 97225
Phone (360) 260-8225
7617 SE Main St
Portland, OR 97215
Phone (503) 257-7946
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Portland, OR
- NPI 1134273212
-
- Geriatric Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649231226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982774543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 NE 16TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644078",
"telephone_number": "360-260-8225",
"fax_number": "360-397-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4838 SW SCHOLLS FERRY RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251629",
"telephone_number": "360-260-8225",
"fax_number": "360-397-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRY S KRULEWITCH, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "360-260-8225",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD10273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287059",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NW GERIATRICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.