Crouch, Paul Alan
Crouch, Paul Alan is an sole proprietor health care provider with primary practice located at 788 Foxley Rd , Hood River OR 97031-9722. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Crouch, Paul Alan can be contacted via phone (541) 806-0047.Contact Information
Primary practice address
788 Foxley Rd
Hood River OR 97031-9722
Phone: (541) 806-0047
Fax: (541) 386-3868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1021091 | Oregon |
| Other Service Providers / Specialist | 174400000X | OT00002839 | Washington |
Profile Details
| NPI number | 1275657462 |
|---|---|
| LBN Legal business name | Crouch, Paul Alan |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275657462 | NPPES |
| Oregon | MEDICAID | 023087 | |
| Oregon | MEDICAID | 7683501 | |
| Oregon | Other | 337703 | |
| Oregon | Other | 71981 | |
| Oregon | Other | 840393000 |
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