Individual
STACEY CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5119 NE 57TH AVE, PORTLAND, OR 97218-2584
(503) 215-8062
Mailing address
9301 SW SAGERT ST APT 187, TUALATIN, OR 97062-7032
(503) 895-7732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007
OR
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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