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Individual

CRYSTAL WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5100 SW MACADAM AVE, 200, PORTLAND, OR 97239-6102
(971) 202-5500
(971) 202-5555
Mailing address
5100 SW MACADAM AVE, 200, PORTLAND, OR 97239-6102
(971) 202-5500
(971) 202-5555

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
201603126NP
OR
363LP2300X
Primary Care Nurse Practitioner
209012825
IL

Other

Enumeration date
07/01/2015
Last updated
10/04/2016
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