NPI 1053443663

Stephanie Renee Crouse, LMP

Practitioner Contractor Vancouver, WA

Practice location

Address: 615 SE Chkalov Dr Suite 7, Vancouver, WA 98683-5279
Phone: (360) 885-1767
Fax: (360) 885-1394

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA00020903 (WA)

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Registry record

NPI: 1053443663
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.