Provider Demographics
NPI:1790563773
Name:CRAWFORD, DARA OLIVIA (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:OLIVIA
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61141 S HWY 97 # 503
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-2523
Mailing Address - Country:US
Mailing Address - Phone:541-728-3271
Mailing Address - Fax:
Practice Address - Street 1:19835 DUCK CALL LN
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2991
Practice Address - Country:US
Practice Address - Phone:415-518-8356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach