DR. PIERRE-CEDRIC BERNARD CROUCH PHDANP-BCPMHNP-BC NPI 1194869313

NPI Information

NPI: 1194869313
Provider Name: DR. PIERRE-CEDRIC BERNARD CROUCH, PHD,ANP-BC,PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
314 NE 19TH AVE
PORTLAND, OR
ZIP 97232
Phone: (503) 427-8006
Get Directions

DR. Pierre-cedric Bernard Crouch, PHD,ANP-BC,PMHNP-BC is a psychiatric/mental health nurse practitioner in Portland, OR. DR. Pierre-cedric Bernard Crouch, PHD,ANP-BC,PMHNP-BC NPI is 1194869313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

314 NE 19TH AVE
PORTLAND, OR
ZIP 97232-829
Phone: (503) 427-8006

The NPI 1194869313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 2/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		581556	CALIFORNIA	No
2	163W00000X	Registered Nurse		202002074RN	OREGON	No
3	363L00000X	Nurse Practitioner		17368	CALIFORNIA	No
4	363LA2200X	Nurse Practitioner	Adult Health	17368	CALIFORNIA	No
5	363LA2200X	Nurse Practitioner	Adult Health	202004463NP-PP	OREGON	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202004463NP-PP	OREGON	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	17368	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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