Dutra, Crystal R
Dutra, Crystal R is an individual health care provider with primary practice located at 1130 Liberty St Se Ste 5 , Salem OR 97302-4143. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Dutra, Crystal R can be contacted via phone (503) 930-9934.Contact Information
Primary practice address
1130 Liberty St Se Ste 5
Salem OR 97302-4143
Phone: (503) 930-9934
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | DEM-LD-10215279 | Oregon |
Profile Details
| NPI number | 1245809581 |
|---|---|
| LBN Legal business name | Dutra, Crystal R |
| Credentials | CPM, LDM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Jun 21st, 2021 - about 4 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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