Provider Demographics
NPI:1245459759
Name:VAN SCHOLTEN-CRAWFORD, MEGHAN JAINI (LMT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:JAINI
Last Name:VAN SCHOLTEN-CRAWFORD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 LARKSPUR AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1924
Mailing Address - Country:US
Mailing Address - Phone:541-513-0970
Mailing Address - Fax:
Practice Address - Street 1:1475 LARKSPUR AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1924
Practice Address - Country:US
Practice Address - Phone:541-513-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10868225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist