Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NPF822 | CA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | NP822 | CA |
N | 363LP2300X | Nurse Practitioner - Primary Care | NPF 822 | CA |
NPI | 1013084326 |
---|---|
Provider Name | Mrs. Janet Elaine Crawford |
First Address | Portland, OR 97209 |
Second Address | Portland, OR 97209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 28/10/2016 |