Individual
STEPHEN CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071
(503) 982-2000
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
187343
OR
Other
Enumeration date
03/13/2018
Last updated
03/17/2021
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