Individual
KELLY N CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
115 NE MAY LN, MCMINNVILLE, OR 97128-9272
(503) 472-1338
(503) 434-8597
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 472-1338
(503) 434-8597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
169546
OR
Other
Enumeration date
07/02/2006
Last updated
01/21/2015
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