National Provider Identifier Database

LISA A CRUPI, PNP – NPI #1265447775
Pediatrics


Contact Information

LISA A CRUPI, PNP
707 SW GAINES ST
PORTLAND, OR97239-2901
Phone: 503-494-2062
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for LISA A CRUPI

NPI Number 1265447775
Credentials PNP
Entity Individual
Enumeration date 07/31/2006
Last updated 07/10/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 097007252N2
  • OR License #: 097007252RN
  • OR Medicaid: 227920
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LISA A CRUPI, PNP

There are currently no reviews for LISA A CRUPI, PNP


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