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

Roger Krupetsky

Individual provider Dentist · NPI 1477322014

Roger Krupetsky is a Dentist in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3280 NE Broadway St
Portland, OR 97232-1815
Phone: (503) 282-0521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 Parnassus Ave, San Francisco, CA 94143-2210 — (415) 502-5800

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12158 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477322014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2023
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address3280 Ne Broadway St, Portland, OR 97232-1815

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