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MR. JOHNATHAN ANDREW KRUG
NPI 1710604517
Massage Therapist in Portland, OR

Active since October 21, 2022
2149 NE BROADWAY ST, PORTLAND, OR 97232(503) 281-0278 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Johnathan Andrew Krug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHNATHAN ANDREW KRUG (NPI 1710604517) is an individual massage therapist in Portland, Oregon, licensed in Oregon (25956) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1710604517
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. JOHNATHAN ANDREW KRUG
Location Address2149 NE BROADWAY STPortland, OR 97232-1580
Mailing Address3119 Ne 65th AvePortland, OR 97213-4535 · (503) 995-8158
Phone(503) 281-0278
Sole ProprietorYes
Enumeration DateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
✔ NPI 1710604517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 25956
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

2149 NE BROADWAY ST, Portland, OR 97232
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAMA MASSAGE
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
PHILIP DOUGLAS STORMER
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
DANIEL WASGATT
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
SARAH E BREWER LMT
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
JULIA INEZ ROBICHEAUX
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
MR. ALEXANDER CHARLES BRODER
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
LISA MARIE PAYNE LMT
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
ETHAN LIVELY
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathan Krug's NPI number?

The NPI number for Johnathan Krug is 1710604517. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Where is Johnathan Krug located?

Johnathan Krug practices at 2149 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 281-0278.

What is Johnathan Krug's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Johnathan Krug was last updated on October 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.