Provider Demographics
NPI:1275836553
Name:KRAUS, JAMES CALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CALVIN
Last Name:KRAUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 N. PACIFIC ST.
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97136-9526
Mailing Address - Country:US
Mailing Address - Phone:503-355-2311
Mailing Address - Fax:503-355-2672
Practice Address - Street 1:653 N. PACIFIC ST.
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:OR
Practice Address - Zip Code:97136-9526
Practice Address - Country:US
Practice Address - Phone:503-355-2311
Practice Address - Fax:503-355-2672
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR69112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry