Crownover, Julie D

Crownover, Julie D is an individual health care provider with primary practice located at 2020 Capitol St Ne , Salem OR 97301-0698. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Crownover, Julie D can be contacted via phone (503) 399-2424.

Contact Information

Primary practice address
2020 Capitol St Ne Salem OR 97301-0698
Phone: (503) 399-2424
Fax: (503) 375-7429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA161327 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6287 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA161327 Oregon

Profile Details

NPI number 1174891311
LBN Legal business name Crownover, Julie D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2011
Last updated Jul 3rd, 2019 - about 5 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 1174891311 NPPES
Washington MEDICAID 1174891311
Washington MEDICAID 500652563

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