Provider Demographics
NPI:1467732990
Name:CROZIER, PAIGE KATHLEEN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:KATHLEEN
Last Name:CROZIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:KATHLEEN
Other - Last Name:MESHISHNEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1945 NW HILL POINT DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1471
Mailing Address - Country:US
Mailing Address - Phone:509-254-7477
Mailing Address - Fax:541-883-4213
Practice Address - Street 1:3314 VANDENBERG RD
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-3730
Practice Address - Country:US
Practice Address - Phone:541-882-7291
Practice Address - Fax:541-883-4213
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201150105NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health