Individual
DAWN MARIE CROSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CPC
Contact information
Practice address
17310 CROWNVIEW DR, GLADSTONE, OR 97027-1114
(386) 366-0998
Mailing address
17310 CROWNVIEW DR, GLADSTONE, OR 97027-1114
(386) 366-0998
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
8325
OR
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8325
MASSAGE LICENSE
OR
Enumeration date
03/31/2016
Last updated
03/31/2016
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