Kristina Marie Prus
Pediatric Hematology-Oncologist
3131 N Vancouver Ave
Portland
, Oregon 97227-1596
Kristina Marie Prus
Pediatric Hematology-Oncologist
3131 N Vancouver Ave
Portland
, Oregon 97227-1596
(503) 528-5920
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Kristina Marie Prus
- 3131 N Vancouver Ave
- Portland, OR
- Zip : 97227-1596
- Phone : (503) 528-5920
Second Address
- Kristina Marie Prus
- 3131 N Vancouver Ave
- Portland, OR
- Zip : 97227-1596
- Phone : (503) 528-5920
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0207X | Pediatric Hematology-Oncologist | MD206562 | OR |
National Provider Identifier
| NPI | 1174942585 |
|---|---|
| Provider Name | Kristina Marie Prus |
| First Address | Portland, OR 97227-1596 |
| Second Address | Portland, OR 97227-1596 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2014 |
| Last Update Date | 24/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.