Individual
GRACE KELLY CROUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
21320 SW LANGER FARMS PKWY, SHERWOOD, OR 97140-9105
(503) 825-4055
Mailing address
21320 SW LANGER FARMS PKWY, SHERWOOD, OR 97140-9105
(503) 825-4055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4537
OR
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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