HARRY S KRULEWITCH, MD PC (NPI# 1982774543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982774543 |
| Entity Type | Organization |
| Organization Name | HARRY S KRULEWITCH, MD PC |
| Other Organization Name | NW GERIATRICS |
| Practice Address |
4838 Sw Scholls Ferry Rd Portland OR 97225-1629 |
| Mailing Address |
8404 Ne 16th St Vancouver WA 98664-4078 |
| Practice Telephone | 3602608225 |
| Practice Fax Number | 3603970189 |
| Mailing Telephone | 3602608225 |
| Mailing Fax Number | 3603970189 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANICE L SPENCER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3602608225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD10273 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287059 | 05 |
| Other Name | Type Code |
|---|---|
| NW GERIATRICS | Doing Business As Name - Organization |
| Street Address |
4838 SW SCHOLLS FERRY RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
| 1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
| 1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
| 1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
| 1457876633 | Kristie Lynn Mitchell | Family Medicine | 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 | 2017-08-08 |
| 1790122927 | Emily Livia Carter | Family Medicine | 66 Bramhall St, Portland, ME 04102-3344 | 2013-05-29 |
| 1285869420 | Chester C Suske | Family Medicine | 1250 Forest Ave, Suite 13, Portland, ME 04103-1889 | 2009-05-18 |
| 1568615649 | Progressive Medical Care LLC | Family Medicine | 335 Brighton Ave, Portland, ME 04102-2363 | 2008-11-03 |
| 1164610242 | Mainehealth | Family Medicine | 22 Bramhall St, Portland, ME 04102 | 2007-10-15 |
| 1881611549 | Howard M Graitzer Do | Family Medicine | 6040 Se Belmont St, Portland, OR 97215-1974 | 2006-07-17 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.