Crystal Ward
Crystal Ward is a Primary Care Nurse Practitioner in Portland, Oregon. Licensed in Illinois and Oregon. Registered with an NPI since 2015.
- Licensed in
- IL, OR
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
5100 SW Macadam Ave 200Portland, OR 97239-6102
Phone: (971) 202-5500
Fax: (971) 202-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 201603126NP (OR) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 209012825 (IL) |
Record details
| NPI number | 1124401799 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 1, 2015 |
| Last updated in NPPES | October 4, 2016 |
| Mailing address | 5100 Sw Macadam Ave, 200, Portland, OR 97239-6102 |
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