Individual
MS. PHYLLIS MARCIA CRONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS
Contact information
Practice address
6525 NE. MALLORY AVENUE, PORTLAND, OR 97211-2421
(503) 289-1242
Mailing address
6525 N.E MALLORY AVENUE, PORTLAND, OR 97211
(503) 289-1242
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
200370015
OR
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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