Provider Demographics
NPI:1013084326
Name:CRAWFORD, JANET ELAINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ELAINE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:ELAINE
Other - Last Name:SCHMITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:618 N.W. 12TH AVE.
Mailing Address - Street 2:#409
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209
Mailing Address - Country:US
Mailing Address - Phone:714-412-5242
Mailing Address - Fax:949-266-5618
Practice Address - Street 1:618 N.W. 12TH AVE.
Practice Address - Street 2:#409
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209
Practice Address - Country:US
Practice Address - Phone:714-412-5242
Practice Address - Fax:949-266-5618
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF 822363LP2300X
CANPF822363L00000X
CANP822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily