Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Stephan Krueger, PA-C

Individual provider Medical Physician Assistant · NPI 1124041660

Michael Stephan Krueger, PA-C is a Medical Physician Assistant in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

501 SE 172nd Ave
Vancouver, WA 98684
Phone: (360) 882-2778
Fax: (360) 604-1723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10004647 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA01022 (OR)

Record details

NPI number1124041660
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESAugust 5, 2018

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