Individual
MRS. KATHLEEN LYN CREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
44 CLUB RD STE 200, EUGENE, OR 97401-2460
(541) 972-6302
(541) 393-5984
Mailing address
1246 DOLA ST, EUGENE, OR 97402-1410
(541) 852-5585
(541) 393-5984
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
201391736RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10036280
OR
Other
Enumeration date
09/30/2024
Last updated
04/15/2025
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