Provider Demographics
NPI:1346539608
Name:KREBS, CARI ANN
Entity Type:Individual
Prefix:MS
First Name:CARI
Middle Name:ANN
Last Name:KREBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-2143
Mailing Address - Country:US
Mailing Address - Phone:541-224-0039
Mailing Address - Fax:541-224-0040
Practice Address - Street 1:1840 NW 9TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:541-224-0039
Practice Address - Fax:541-224-0040
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR9741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist