Individual
TARA CROSSWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(480) 712-8319
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
03/19/2026
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