Individual
DR. MARCY LYNN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4876 NW BETHANY BLVD, SUITE L-1, PORTLAND, OR 97229-9259
(503) 466-2254
(503) 466-1143
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
37785
CA
225100000X
Physical Therapist
60493
OR
225100000X
Physical Therapist
Primary
PTH10253
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500706471
—
OR
Enumeration date
04/19/2011
Last updated
08/24/2022
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