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Individual

STEVEN SCOTT CROWTHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
745 LAUREL ST # 445, JACKSONVILLE, OR 97530-9454
(970) 946-2918
Mailing address
745 LAUREL ST # 445, JACKSONVILLE, OR 97530-9454
(970) 946-2918

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
189597
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
201502217
OR
367500000X
Certified Registered Nurse Anesthetist
NA95000228
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379446YKNV
NM
Enumeration date
08/20/2014
Last updated
03/17/2018
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