Individual
JILL CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
7234 SW NEVADA TER, PORTLAND, OR 97219-2062
(740) 310-4395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1863360
OR
207Q00000X
Family Medicine Physician
DO186360
OR
Other
Enumeration date
04/13/2012
Last updated
04/24/2025
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