Provider Demographics
NPI:1982182697
Name:CRAWFORD, LAUREN FRANCES (RPH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:FRANCES
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:FRANCES
Other - Last Name:OLBERDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2010 NW FRONT AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1853
Mailing Address - Country:US
Mailing Address - Phone:402-340-4934
Mailing Address - Fax:
Practice Address - Street 1:5717 NE 138TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-3409
Practice Address - Country:US
Practice Address - Phone:402-340-4934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16150183500000X
ORRPH-0016684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist