Michael Crocker, R.N

NPI 1538294400 · on the registry since 2007 · sole proprietor

Practice

Address: 2507 Christie Drive
Lake Oswego, OR 97034
Phone: (503) 675-2285
Fax: (503) 697-3416
Organisation at this address: Youth Villages
Youth Villages
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 79

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon