Active NPIIndividual provider

Dr. Marcy L Crouch, PT, DPT

Physical Therapist in Portland, Oregon

NPI Number1578853958
Practice location
4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259
Fax
503-466-1143
Last updated
August 24, 2022

Marcy Lynn Crouch is a Physical Therapist based in Portland, OR. Marcy Lynn Crouch practices in Portland, OR and has the professional credentials of PT, DPT. The NPI Number for Marcy Lynn Crouch is 1578853958 and holds a License No. 37785 (CA). The current practice location address for Marcy Lynn Crouch is 4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259 and can be reached out via phone at 503-466-2254 and via fax at 503-466-1143.

Provider Profile Details

NPI Number
1578853958
Provider Name
Marcy Lynn Crouch
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259
Phone Number
503-466-2254
Fax Number
503-466-1143
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2011
Last Update Date
August 24, 2022
Certification Date
August 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4876 NW Bethany Blvd
Suite L-1
Portland, OR 97229-9259
State
Oregon
Zip
97229-9259
Phone Number
503-466-2254
Fax Number
503-466-1143
Portland, OR 97229Get directions →

Provider Business Mailing Address Details

Address
16083 SW Upper Boones Ferry RD
Suite 300
Tigard, OR 97224-7736
City
Tigard
State
OR
Zip
97224-7736
Phone Number
800-219-8835
Fax Number
503-639-9699

License Information

License Number (1)
37785
License State (1)
CA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
60493
License State (2)
OR
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
PTH10253
License State (3)
AL
Taxonomy (3)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marcy L Crouch, PT, DPT?

The NPI number of Dr. Marcy L Crouch, PT, DPT is 1578853958. It was assigned on April 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Marcy L Crouch, PT, DPT?

Dr. Marcy L Crouch, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CA under license number 37785.

Where does Dr. Marcy L Crouch, PT, DPT practice?

The practice location is 4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259. The office can be reached at 503-466-2254 (phone) or 503-466-1143 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578853958 directly on the NPPES registry website.

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