JILL CRUM DO NPI 1639436785

NPI Information

  • NPI: 1639436785
  • Provider Name: JILL CRUM, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10100 SE SUNNYSIDE RD
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 813-2000

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NPI Details

Jill Crum, DO is a family medicine in Clackamas, OR with 13 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jill Crum, DO NPI is 1639436785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduation Year:2012

The provider's business location address is:

10100 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-970
Phone: (503) 813-2000

The NPI 1639436785 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 4/13/2012 and was last updated on 4/24/2025.

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
1207Q00000XFamily MedicineDO186360OREGONNo
2207Q00000XFamily MedicineDO1863360OREGONYes

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: 11/21/2025

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