Tara Kruse
NPI #1275150260 in Springfield, Oregon
Provider Information
- NPI Number
- 1275150260
- Entity Type
- Individual
- Name
- Tara Kruse
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 25, 2020
- Last Updated
- Jun 25, 2020
Practice Location
- Address
- 1460 G ST
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97477-4112
- Phone
- (541) 359-9076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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