Search › Oregon › 122300000X
Roger Krupetsky
NPI 1477322014 · on the registry since 2023
Practice
- Address
- 3280 Ne Broadway St
Portland, OR 97232 - Phone
- (503) 282-0521
- Clinicians at this address
- 4
Additional practice sites
- 707 Parnassus Ave, San Francisco, CA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon