Provider Demographics
NPI:1215065792
Name:KRYGER, CHRISTOPHER WILLIAM (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:KRYGER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:MARYLHURST
Mailing Address - State:OR
Mailing Address - Zip Code:97036
Mailing Address - Country:US
Mailing Address - Phone:503-675-2234
Mailing Address - Fax:
Practice Address - Street 1:420 SOUTH STATE STREET
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034
Practice Address - Country:US
Practice Address - Phone:503-675-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2009-07-14
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2009-07-14
Provider Licenses
StateLicense IDTaxonomies
OR20371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical