Individual
ROBERT CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1640 G ST, SPRINGFIELD, OR 97477-4226
(541) 682-3550
Mailing address
3358 PALACE ST, EUGENE, OR 97404-1647
(541) 688-5115
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200942638RN
OR
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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