MEDICARE: COURTNEY LYNN CROW LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	29322	OR

General Provider Information

NPI Number	:	1376499921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY LYNN CROW LMT

Provider Business Mailing Address
First Line	:	2008 WILLAMETTE FALLS DR STE 200A
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-4673
Country	:	US
Telephone Number	:	503-650-6494
Fax Number	:	541-585-1164

Provider Business Practice Location Address
First Line	:	2008 WILLAMETTE FALLS DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-4658
Country	:	US
Telephone Number	:	503-650-6494
Fax Number	:	541-585-1164

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ COURTNEY LYNN CROW LMT” Practice Location

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