Crossgrove, Jillian M

Crossgrove, Jillian M is an sole proprietor health care provider with primary practice located at 21861 Ne Hidden Springs Rd , Dundee OR 97115-9124. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Crossgrove, Jillian M can be contacted via phone (503) 714-6457.

Contact Information

Primary practice address
21861 Ne Hidden Springs Rd Dundee OR 97115-9124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X DEM-LD-10226745 Oregon

Profile Details

NPI number 1811676554
LBN Legal business name Crossgrove, Jillian M
Credentials BSM, CPM, LDM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2023
Last updated Jul 11th, 2023 - about 2 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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