Individual
MS. CRYSTAL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202212732NP-PP
OR
363LF0000X
Family Nurse Practitioner
2704298579
MI
363LF0000X
Family Nurse Practitioner
AP61134895
WA
Other
Enumeration date
11/15/2020
Last updated
10/30/2024
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