MS. MARY THORNBURG KRUG MS LPC NPI 1205039633

NPI Information

  • NPI: 1205039633
  • Provider Name: MS. MARY THORNBURG KRUG, MS, LPC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 2100 NE BROADWAY ST
    SUITE 101
    PORTLAND, OR
    ZIP 97232
  • Phone: (503) 449-9729

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NPI Details

MS. Mary Thornburg Krug, MS, LPC is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Mary Thornburg Krug, MS, LPC NPI is 1205039633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 NE BROADWAY ST
SUITE 101
PORTLAND, OR
ZIP 97232-569
Phone: (503) 449-9729
Fax: (503) 287-2801

The enumeration date for this NPI number is 6/5/2007 and was last updated on 5/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorC 2231OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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