| Crystal Rose, | |
|
9750 Ne Glisan St, Portland, OR 97220-4449 | |
| (928) 671-0904 | |
| Not Available |
| Full Name | Crystal Rose |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 9750 Ne Glisan St, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235849555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 202209494 (Oregon) | Secondary |
| 164W00000X | Licensed Practical Nurse | 202209494 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Rose, 17180 W Sweetwater Ave Unit 1088, Surprise, AZ 85388-3404 Ph: (928) 671-0904 | Crystal Rose, 9750 Ne Glisan St, Portland, OR 97220-4449 Ph: (928) 671-0904 |
Michael R Coon, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 808 Sw Alder St, Suite 300, Portland, OR 97205 Phone: 503-226-2203 Fax: 503-223-4231 | |
Maria Velador, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6601 Ne 78th Ct Ste A3, Portland, OR 97218 Phone: 503-252-3949 | |
Barbara Jean Cordova Ayala, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 727 W Burnside St, Portland, OR 97209 Phone: 503-228-4533 | |
Richard Aaron Mcclain, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Jasmine Parrish, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6601 Ne 78th Ct Ste A3, Portland, OR 97218 Phone: 971-361-0798 Fax: 503-252-4027 | |
Musau Tujibikila I, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 324 Nw Davis, Portland, OR 97209 Phone: 503-226-2203 | |
Susan Demarkey, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2600 Se Belmont St, Portland, OR 97214 Phone: 503-239-5738 |