Individual
MAGDA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
(503) 391-9762
Mailing address
17439 SW MONTAGUE WAY, KING CITY, OR 97224-2236
(503) 480-4450
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930510
OR
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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