Individual
ROBERT W CRUMPACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 E MAIN, SUITE 307, PORTLAND, OR 97216
(503) 256-3034
(503) 256-3055
Mailing address
10000 E MAIN, SUITE 307, PORTLAND, OR 97216
(503) 256-3034
(503) 256-3055
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD009276
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030841
—
OR
Enumeration date
08/22/2006
Last updated
10/24/2007
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