Jacob Leroy Crawford, is a
Peer Specialist based in Warrenton, Oregon. Jacob Leroy Crawford is licensed to practice in * (Not Available) (license number ) and his current practice location is
65 N Highway 101, Warrenton, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 325-5722.
NPI number for Jacob Leroy Crawford is 1720810658 and his current mailing address is 65 N Highway 101, Warrenton, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720810658.
Healthcare Provider's Profile
Full Name | Jacob Leroy Crawford |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 65 N Highway 101, Warrenton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720810658
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/19/2024
Medical Identifiers
Medical identifiers for Jacob Leroy Crawford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720810658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Leroy Crawford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacob Leroy Crawford, 65 N Highway 101, Warrenton, OR 97146-9371 Ph: (503) 325-5722 | Jacob Leroy Crawford, 65 N Highway 101, Warrenton, OR 97146-9371 Ph: (503) 325-5722 |
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