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Lisa Anne Crupi, PNP
Pediatric Nurse Practitioner in Portland, Oregon
NPI 1265447775

Lisa Anne Crupi is a Pediatric Nurse Practitioner based in Portland, OR and is specialized in Pediatrics. Lisa Anne Crupi practices in Portland, OR and has the professional credentials of PNP. The NPI Number for Lisa Anne Crupi is 1265447775 and holds a License No. 097007252RN (Oregon).

The current practice location address for Lisa Anne Crupi is 707 Sw Gaines St, Portland, OR and can be reached out via phone at 503-494-2062. You can also correspond with Lisa Anne Crupi through the mailing address at 707 SW GAINES ST, PORTLAND, OR - 97239-2901 (mailing address contact number: ).

Location: 707 Sw Gaines St, Portland, OR, 97239-2901
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Provider Profile Details
NPI Number
1265447775
Provider Name
Lisa Anne Crupi
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
707 Sw Gaines St, Portland, OR, 97239-2901
Phone Number
503-494-2062
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227920 05 OR
institution
Provider Business Practice Location Address Details
Address
707 Sw Gaines St
City
State
Zip
97239-2901
Phone Number
503-494-2062
Fax Number
person
Provider Business Mailing Address Details
Address
707 Sw Gaines St
City
State
Zip
97239-2901
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
097007252RN (Oregon)
Definition
Definition to come...
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