Individual
MR. DEAN CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, ATC
Contact information
Practice address
3521 NW SAMARITAN DR, STE 101, CORVALLIS, OR 97330-4744
(541) 768-6119
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7127
GA
363A00000X
Physician Assistant
Primary
PA178579
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149544B
—
GA
05
—
1124443320
—
OR
Enumeration date
02/25/2014
Last updated
05/02/2025
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