Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Jennifer Malia Crockford

Individual provider Counselor · NPI 1104102813

Amy Jennifer Malia Crockford is a Counselor in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

5200 SW Macadam Ave # 580
Portland, OR 97239
Phone: (503) 231-7854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1104102813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2011
Last updated in NPPESDecember 2, 2015

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