Healthcare Provider Details

I. General information

NPI: 1902094386
Provider Name (Legal Business Name): STEVEN GARY CRANFORD. DC, ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 NE HOOD AVE. SUITE #140
GRESHAM OR
97030
US

IV. Provider business mailing address

PO BOX 247
TROUTDALE OR
97060
US

V. Phone/Fax

Practice location:
  • Phone: 503-232-7609
  • Fax: 503-232-3463
Mailing address:
  • Phone: 503-232-7609
  • Fax: 503-232-3463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1232-DC
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number362-ND
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0362ND.
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: