Query, Crystal Suzanne
Query, Crystal Suzanne is an individual health care provider with primary practice located at 4920 N Interstate Ave , Portland OR 97217-3653. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Query, Crystal Suzanne can be contacted via phone (503) 215-3300.Contact Information
Primary practice address
4920 N Interstate Ave
Portland OR 97217-3653
Phone: (503) 215-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD154980 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD154980 | Oregon |
Profile Details
| NPI number | 1750546461 |
|---|---|
| LBN Legal business name | Query, Crystal Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Mar 24th, 2021 - about 5 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 | 1750546461 | NPPES |
| Oregon | MEDICAID | 500640568 |
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