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Individual

ANGELA MARIE CROTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1030 WILLAGILLESPIE RD, EUGENE, OR 97401-2123
(541) 653-9158
(541) 653-8694
Mailing address
28465 SUTHERLIN LN, EUGENE, OR 97405-9400
(541) 213-3278

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201805148NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
21657
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB242745
MEDICARE ID
CA
Enumeration date
09/11/2006
Last updated
03/27/2024
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