Crystal Carroll, PA-C
Physician Assistant in Portland, Oregon
1861069353- Practice location
- 11782 SW Barnes RD Ste 300, Portland, OR 97225-5933
- Phone
- 503-214-5200
- Fax
- 503-906-6613
- Last updated
- November 16, 2022
Crystal Carroll, PA-C is a Physician Assistant based in Portland, OR. Crystal Carroll, PA-C holds the professional credentials of PA-C. The NPI number for Crystal Carroll, PA-C is 1861069353 and holds license No. PA213373 (OR). The current practice location address is 11782 SW Barnes RD Ste 300, Portland, OR 97225-5933 and the office can be reached by phone at 503-214-5200 and by fax at 503-906-6613. The NPI was assigned on June 4, 2021 and the record was last updated in NPPES on November 16, 2022.
●Provider Profile Details
- NPI Number
- 1861069353
- Provider Name
- Crystal Carroll
- Credential
- PA-C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Enumeration Date
- June 4, 2021
- Last Update Date
- November 16, 2022
- Certification Date
- November 16, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 11782 SW Barnes RD Ste 300
Portland, OR 97225-5933 - City
- Portland
- State
- Oregon
- ZIP
- 97225-5933
- Country
- US
- Phone Number
- 503-214-5200
- Fax Number
- 503-906-6613
✉Business Mailing Address
- Address
- 11782 SW Barnes RD Ste 300
Portland, OR 97225-5933 - City
- Portland
- State
- OR
- ZIP
- 97225-5933
- Phone Number
- 503-214-5200
- Fax Number
- 503-906-6613
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant 193200000X - Multi-Specialty Group | 363A00000X | Yes | PA213373 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Portland, OR
View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Crystal Carroll, PA-C?
The NPI number of Crystal Carroll, PA-C is 1861069353. It was assigned on June 4, 2021 and is currently active in the NPPES registry.
What is the specialty of Crystal Carroll, PA-C?
Crystal Carroll, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA213373 (OR).
Where does Crystal Carroll, PA-C practice?
The practice location is 11782 SW Barnes RD Ste 300, Portland, OR 97225-5933. The office can be reached at 503-214-5200 (phone) or 503-906-6613 (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 1861069353 directly on the NPPES registry website at npiregistry.cms.hhs.gov.