IndividualActive
Antoinette Kruger
NPI 1194407411 · Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1194407411
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
4805 Ne Glisan St Ste 1r29
Portland, OR 97213-2933
Phone: (971) 415-5466
Approximate (ZIP-level) locationGet directions
Mailing address
4805 Ne Glisan St Ste 1r29
Portland, OR 97213-2933
Registry dates
- Enumerated
- 2023-08-04
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.