Individual
SHAYNE CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3008 NE 25TH CT, GRESHAM, OR 97030-3394
(360) 751-1510
Mailing address
3008 NE 25TH CT, GRESHAM, OR 97030-3394
(360) 751-1510
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
10000174
OR
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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