Brennan J Crowe, RN
Registered Nurse in Portland, OR. Individual provider (NPI-1).
NPI number1194292011
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1194292011
- Entity type
- Individual (NPI-1)
- Name
- Brennan J Crowe
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2018
- Certification date
- Sep 2, 2020
- Last updated
- Sep 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 201705950RN | OR | Yes |
| 163W00000X | Registered Nurse | RN60967661 | WA |
Other names
- Amanda J Crowe (Former Name)
Practice location
15 N Morris StPortland, OR 97227-1541
Phone 503-230-9875 · Fax 503-230-9877
Mailing address
1776 Sw Madison StPortland, OR 97205-1715
Phone 503-224-1044 · Fax 503-621-2235
Other practice locations
12360 E Burnside St
Portland, OR 97233-1042
Portland, OR 97233-1042
Phone 971-279-4800 · Fax 971-279-2051
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