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

Todd Shane Crocenzi, MD

Individual provider Medical Oncology Physician · NPI 1336130806

Todd Shane Crocenzi, MD is a Medical Oncology Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4805 NE Glisan St 6N40
Portland, OR 97213-2933
Phone: (503) 215-5696
Fax: (503) 215-5695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence MD26231 (OR)

Record details

NPI number1336130806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESOctober 29, 2008
Mailing addressPo Box 3158, Portland, OR 97208-3158

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