Provider Demographics
NPI:1558752592
Name:CROSBY, ISABEL (CPM)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:CROSBY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6603 N CURTIS AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-4061
Mailing Address - Country:US
Mailing Address - Phone:503-422-7821
Mailing Address - Fax:
Practice Address - Street 1:6603 N CURTIS AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-4061
Practice Address - Country:US
Practice Address - Phone:503-422-7821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD 10167761176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife