MR. ROBERT CRAWFORD (NPI# 1558829358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558829358 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CRAWFORD |
| Credential | PSS, CRM |
| Practice Address |
221 W Main St # B13 Medford OR 97501-2728 |
| Mailing Address |
300 W Main St Medford OR 97501-2756 |
| Practice Telephone | 5417721777 |
| Mailing Telephone | 5417721777 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205243953 | Robert Crawford | Physical Therapy Assistant | 419 Buttonwood St, Catasauqua, PA 18032-2223 | 2014-07-15 |
| 1982944773 | Robert Wesley Crawford | Dentist | 1053 Chafee Ave, Augusta, GA 30904-5855 | 2013-02-15 |
| 1669726014 | Robert Neal Crawford | Massage Therapist | 9520 Ne 120th St, #a202, Kirkland, WA 98034-8915 | 2012-11-07 |
| 1033372610 | Robert S Crawford | Surgery | 5673 Peachtree Dunwoody Ste 675, Atlanta, GA 30342-1774 | 2008-07-03 |
| 1073704680 | Robert Crawford | Physical Therapist | 130 Southampton Road, Westfield, MA 01085-0000 | 2007-08-08 |
| 1275747685 | Robert Crawford | Counselor | 44 Cooper St Ste 102, Woodbury, NJ 08096-4640 | 2007-05-09 |
| 1982755195 | Robert S. Crawford Jr. | Pharmacist | 100 Tabitha St, Leesburg, GA 31763-4933 | 2007-01-15 |
| 1295843951 | Robert E Crawford | Dentist | 120 E 2nd Street, Westfield, WI 53964-0220 | 2006-08-25 |
| 1063410579 | Robert H Crawford | Family Medicine | 1134 N 500 W, Suite 102, Provo, UT 84604-3383 | 2005-07-08 |
| 1619335015 | Robert Crawford | Counselor | 697 E Broad St, Columbus, OH 43215-3948 | 2016-02-01 |
| Street Address |
221 W MAIN ST # B13 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073282 | Brandon Wade Orr | Peer Specialist | 611 W 11th St Apt 2, Medford, OR 97501-3572 | 2019-10-01 |
| 1063977858 | Hayley Jo Burns | Peer Specialist | 1362 Garfield St, Medford, OR 97501-3979 | 2019-02-05 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1902288871 | Kelly Burrows | Peer Specialist | 817 N Central Ave, Suite C, Medford, OR 97501-5840 | 2015-06-26 |
| 1396351730 | Dana Alexzandria Bogdanove | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-09-21 |
| 1609493873 | Heather Marie Getz | Peer Specialist | 200 Beatty St, Medford, OR 97501-5811 | 2020-07-02 |
| 1508483405 | Justin Karl Sacco | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-26 |
| 1275156564 | Mayela Villa | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-05-21 |
| 1427686021 | Richard Joseph Mccleary | Peer Specialist | 200 Beatty St, Medford, OR 97501-5811 | 2020-03-30 |
| 1093358194 | Leticia Parra Aguilar | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2019-10-21 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.