{"npi":"1124288550","type":"NPI-1","status":"active","name":{"display":"Mr. Christopher Kruebbe LCSW","other":[],"first":"CHRISTOPHER","last":"KRUEBBE","middle":"KARL","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"CA","license":"23581"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OR","license":"L5771"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"LA","license":"11664"}]},"addresses":[{"purpose":"LOCATION","street_1":"9465 THIRD STREET","city":"BAY CITY","state":"OR","postal_code":"97107","country_code":"US","phone":"5414507991","fax":"5414720009"},{"purpose":"MAILING","street_1":"PO BOX 3575","city":"BAY CITY","state":"OR","postal_code":"971073575","country_code":"US","phone":"5414507991"}],"license":{"state":"OR","number":"L5771"},"identifiers":[{"type_code":"01","label":"Other","value":"R171558","state":"OR","issuer":"MEDICARE PART B PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130918000386","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OR","pac_id":"6901040732"}]},"enumeration_date":"2008-06-10","last_updated":"2014-05-16","_meta":{"source":"NPPES","snapshot_date":"2014-05-16","doc_url":"https://findmynpi.com/api"}}