Individual
KAYVA LAUREN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5678
Mailing address
3303 S BOND AVE # MC5E, PORTLAND, OR 97239-4501
(503) 494-6687
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A165819
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD219408
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/03/2018
Last updated
08/20/2024
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