NPI 1124761796

Josephine Crocker, CHW

Practitioner Community Health Worker Stayton, OR

Practice location

Address: 1401 N 10th Ave, Stayton, OR 97383-1311
Phone: (541) 650-8304

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence THW000106362 (OR)

Other Community Health Worker providers in Oregon →

Registry record

NPI: 1124761796
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2022
Record last updated: 20 Apr 2022

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.