Individual
PAIGE AILEEN CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3825 WOLVERINE ST NE, SALEM, OR 97305-1201
(888) 875-7820
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201601005RN
OR
163W00000X
Registered Nurse
686473-1
NY
363LF0000X
Family Nurse Practitioner
Primary
201601619NP-PP
OR
Other
Enumeration date
07/20/2015
Last updated
03/17/2016
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