Crocker, Rosalyn E.

Crocker, Rosalyn E. is an sole proprietor health care provider with primary practice located at 5350 Sw Erickson Ave , Beaverton OR 97005-3849. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Crocker, Rosalyn E. can be contacted via phone (503) 641-5280.

Contact Information

Primary practice address
5350 Sw Erickson Ave Beaverton OR 97005-3849
Phone: (503) 641-5280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 080045436RN Oregon

Profile Details

NPI number 1659461374
LBN Legal business name Crocker, Rosalyn E.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Nov 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659461374 NPPES
Oregon MEDICAID 098900

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