ROSALYN E. CROCKER


Address: 5350 Sw Erickson Ave, Beaverton, OR 97005-3849
Phone: 5036415280

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
080045436RN OR Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 098900 05

Office Location

Street Address 5350 SW ERICKSON AVE
City BEAVERTON
State OR
Zip Code 97005-3849

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1992286348 Kathryn Wallner Counselor 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 2018-08-23
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

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NPI Name Taxonomy Address Enumeration
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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
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1972149482 Kendra Dee Falk Registered Nurse 2152 Lomond Ave, Springfield, OR 97477-2579 2019-11-19
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1124669288 Andrea Marie Lanning Registered Nurse 60847 Love Rd, Cove, OR 97824-8210 2019-09-30
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Competitor

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City BEAVERTON
Zip Code 97005

Improve Information

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Dataset Information

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.

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