ROSALYN E. CROCKER (NPI# 1659461374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659461374 |
Entity Type | Individual |
Full Name | ROSALYN E. CROCKER |
Credential | R.N. |
Practice Address |
5350 Sw Erickson Ave Beaverton OR 97005-3849 |
Practice Telephone | 5036415280 |
Mailing Telephone | 5036415280 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-11-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
080045436RN | OR | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 098900 | 05 |
Street Address |
5350 SW ERICKSON AVE |
City | BEAVERTON |
State | OR |
Zip Code | 97005-3849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
Find all providers in zip 97005 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750742193 | Laurie Polneau | Registered Nurse | 17269 Nw Broken Top Dr, Beaverton, OR 97006-4857 | 2016-03-13 |
1326395245 | Heidi A Masanga | Registered Nurse | 9405 Sw 153rd Ave, Beaverton, OR 97007-8863 | 2012-08-09 |
1891929139 | Charles Taneous | Registered Nurse | 7110 Sw 140th Pl, Beaverton, OR 97008-5556 | 2009-05-13 |
1386806503 | Jennifer Lois Zitomer | Registered Nurse | 16100 Sw Audubon St Unit 103, Beaverton, OR 97006-2481 | 2008-06-29 |
1881748291 | Corina Ligia Drambarean | Registered Nurse | 15675 Sw Hart Rd, Beaverton, OR 97007-4956 | 2007-01-23 |
1669524625 | Helen Marie Anderson | Registered Nurse | 14391 Sw Barrows Rd, Beaverton, OR 97007-6136 | 2007-01-18 |
1184646481 | Nancy Leary Hamilton | Registered Nurse | 580 Nw Silverado Dr, Beaverton, OR 97006-6359 | 2006-07-24 |
1669713723 | Tcm & Associates Inc | Registered Nurse | 7110 Sw 140th Pl, N/a, Beaverton, OR 97008-5556 | 2013-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316556574 | Anne Marie Wilson | Registered Nurse | 3664 Fairhaven Dr, West Linn, OR 97068-3779 | 2020-07-23 |
1275157604 | Lauralee St Clair | Registered Nurse | 35398 S Dickey Prairie Rd, Molalla, OR 97038-8627 | 2020-06-01 |
1073149928 | Ann De Voir | Registered Nurse | 2905 Sw Greenway Ave, Portland, OR 97201-1452 | 2020-03-22 |
1477184695 | Brenda Rasczewski | Registered Nurse | 3235 6th St, Columbia City, OR 97018-9703 | 2020-01-27 |
1669011706 | Amanda Ervin | Registered Nurse | 1485 Nw Penny Ln, Albany, OR 97321-1170 | 2020-01-06 |
1538707187 | Alison Marie Larson | Registered Nurse | 46780 Nw Graham Rd, Banks, OR 97106-7029 | 2019-12-13 |
1972149482 | Kendra Dee Falk | Registered Nurse | 2152 Lomond Ave, Springfield, OR 97477-2579 | 2019-11-19 |
1790328003 | Bethanie Robbins Girardi | Registered Nurse | 748 Little Oak St, Newberg, OR 97132-7476 | 2019-10-21 |
1124669288 | Andrea Marie Lanning | Registered Nurse | 60847 Love Rd, Cove, OR 97824-8210 | 2019-09-30 |
1164070595 | Yvonne M Myette | Registered Nurse | 14834 Nw Orchid St, Portland, OR 97229-6941 | 2019-08-28 |
Find all providers with the same taxonomy |
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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.