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

Mr. Johnathan Andrew Krug

Individual provider Massage Therapist · NPI 1710604517

Mr. Johnathan Andrew Krug is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022
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Practice location Address checks out

2149 NE Broadway St
Portland, OR 97232-1580
Phone: (503) 281-0278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 25956 (OR)

Record details

NPI number1710604517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 21, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

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