Individual provider · Type 1 NPI

Angela L. Krebsbach, PA

Medical Physician Assistant · Portland, OR

NPI number 1215014584 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 494-8550

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA165390 (OR)
Medical Physician Assistant Primary 363AM0700XPA165390 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1215014584

Angela L. Krebsbach, PA's National Provider Identifier is 1215014584, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 13, 2021.