Amy Jennifer Malia Crockford is a student in an organized health care education training program in Portland, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Amy Jennifer Malia Crockford NPI is 1104102813. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5200 SW MACADAM AVE
# 580
PORTLAND, OR
ZIP 97239
Phone: (503) 231-7854
The enumeration date for this NPI number is 10/26/2011 and was last updated on 12/2/2015.