Search › Oregon › 175F00000X
Mia Crupper, N.D., L.M.T
NPI 1609992650 · on the registry since 2007
Practice
- Address
- 4259 Ne Broadway St
Portland, OR 97213 - Phone
- (503) 235-2259
- Organisation at this address
- Gift Of Life Clinic
Northland Hearing Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Also registered as
- 174400000X
176B00000X
374J00000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-02-07
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