Kirsten Crowley, MD | |
12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223-3396 | |
(503) 216-9140 | |
(503) 216-9145 |
Full Name | Kirsten Crowley |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 12442 Sw Scholls Ferry Rd, Tigard, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396838280 | NPI | - | NPPES |
269760 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD25636 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Kirsten Crowley, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Kirsten Crowley, MD 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223-3396 Ph: (503) 216-9140 |
Margaret Allison Baynham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7213 Sw Hazelfern Rd, Tigard, OR 97224 Phone: 503-214-2064 Fax: 503-598-3600 | |
Dr. Sandra Ana Antonovic, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223 Phone: 503-216-9140 Fax: 503-216-9145 | |
Leila Hotaki Mesch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223 Phone: 503-216-9140 | |
Carol Lynn Schriner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 Fax: 503-221-4451 | |
Dr. Zaid Saad Al-mulla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 300, Tigard, OR 97223 Phone: 503-466-1779 Fax: 503-598-9030 | |
Sarah A Leffler Wagoner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223 Phone: 503-216-9140 |