Individual
RYAN ANDREW CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD155176
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A771560
BLUE SHIELD OF CA
CA
05
—
00A771560
—
CA
Enumeration date
06/05/2006
Last updated
01/30/2020
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