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NPI 1861580490 · live from the CMS NPI Registry

Kathy Ann Crispell, MD

Internal Medicine, Cardiovascular Disease in Portland, OR. National Provider Identifier 1861580490, active.

NPI record

NPI1861580490 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location3303 Sw Bond Ave Ste 9, Portland, OR 97239
Practice phone503-494-7400
EnumeratedOctober 10, 2006
Last updatedOctober 30, 2018
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease primary207RC0000XMD17237 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.