Individual
MS. JODY RENEE CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6800 SW 105TH AVE STE 206, BEAVERTON, OR 97008-5487
(503) 430-1777
(503) 372-5119
Mailing address
2668 AZALEA DR, GRANTS PASS, OR 97526-8313
(925) 570-3508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA219135
OR
Other
Enumeration date
08/01/2018
Last updated
04/23/2024
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