Individual
MARITZA CASSANDRA CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
5431 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-1918
(503) 245-7231
(503) 246-1220
Mailing address
5431 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-1918
(503) 245-7231
(503) 246-1220
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0008612
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
OR
Enumeration date
12/20/2022
Last updated
12/20/2022
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