Individual
CATHERINE E CRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19250 SW 65TH AVE, SUITE 325, TUALATIN, OR 97062-7452
(503) 692-1242
(503) 691-3615
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
(503) 855-1620
(503) 840-3299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD 18265
OR
207VG0400X
Gynecology Physician
Primary
MD18265
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058011
—
OR
01
—
R106590
MEDICARE PTAN
OR
Enumeration date
11/07/2005
Last updated
11/07/2018
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