Provider Demographics
NPI:1649299033
Name:CROY, JEFFREY FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:FRANCIS
Last Name:CROY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 SW 9TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321
Mailing Address - Country:US
Mailing Address - Phone:541-926-9611
Mailing Address - Fax:541-926-6152
Practice Address - Street 1:930 SW 9TH AVENUE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321
Practice Address - Country:US
Practice Address - Phone:541-926-9611
Practice Address - Fax:541-926-6152
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD19735174400000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR077813Medicaid
ORG08174Medicare UPIN
OR077813Medicaid