Thomas V Kruse
Dermatologist
1410 Commercial St Se
Salem
, Oregon 97302
Thomas V Kruse
Dermatologist
1410 Commercial St Se
Salem
, Oregon 97302
(503) 375-3643
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Thomas V Kruse
- 1410 Commercial St Se
- Salem, OR
- Zip : 97302
- Fax : (503) 375-3643
- Phone : (503) 370-7364
Second Address
- Thomas V Kruse
- 1410 Commercial St Se
- Salem, OR
- Zip : 97302
- Fax : (503) 375-3643
- Phone : (503) 370-7364
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD11505 | OR |
National Provider Identifier
| NPI | 1003862285 |
|---|---|
| Provider Name | Thomas V Kruse |
| First Address | Salem, OR 97302 |
| Second Address | Salem, OR 97302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 07/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 218644 | (05) | OR |
| C93086 | (02) | OR |
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.