Crupi, Lisa Anne

Crupi, Lisa Anne is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Crupi, Lisa Anne can be contacted via phone (503) 494-2062.

Contact Information

Primary practice address
707 Sw Gaines St Portland OR 97239-2901
Phone: (503) 494-2062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 097007252RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 097007252N2 Oregon

Profile Details

NPI number 1265447775
LBN Legal business name Crupi, Lisa Anne
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 10th, 2007 - 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 1265447775 NPPES
Oregon MEDICAID 227920

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