Individual
KELLEY C CRUSIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 NW ELKS DR STE 100, CORVALLIS, OR 97330-3757
(541) 768-4950
(541) 768-9377
Mailing address
501 NW ELKS DR STE 100, CORVALLIS, OR 97330-3757
(541) 768-4950
(541) 768-9377
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN146883
AZ
363LF0000X
Family Nurse Practitioner
Primary
201706145NP-PP
OR
Other
Enumeration date
09/06/2012
Last updated
03/18/2019
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