Individual
MR. TIM L CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Contact information
Practice address
UP UNIVERSITY HEALTH CENTER, 5000 N WILLAMETTE BLVD, PORTLAND, OR 97203-5798
(503) 943-7134
(503) 943-7199
Mailing address
3126 NE EVERETT ST, PORTLAND, OR 97232-3253
(503) 235-0140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
OR
363LF0000X
Family Nurse Practitioner
Primary
088006487N1 FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088006487N1 FNP-PP
STATE NURSING LICENSE, NP
OR
01
—
123914
OMAP NUMBER
OR
Enumeration date
01/12/2007
Last updated
09/11/2025
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