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NPI 1447702485

NPI 1447702485 : CAROL L CROWE FNP NP-C PMHNP-BC : SEASIDE, OR

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General NPI Number Information
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    NPI Number           |    1447702485
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    Entity Type          |    Individual 
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    Provider Name        |    CAROL L CROWE FNP NP-C PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/25/2016
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    2609 HIGHWAY 101 N STE 101B 
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    City                 |    SEASIDE
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    State                |    OR
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    Zip                  |    97138-4344
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    Country              |    US
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    Telephone            |    503-791-3355
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    Fax                  |    541-314-9642
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Provider Business Mailing Address
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    Address Line         |    PO BOX 677 
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    City                 |    SEASIDE
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    State                |    OR
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    Zip                  |    97138-0677
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    Country              |    US
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    Telephone            |    503-791-3355
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    Fax                  |    541-314-9642
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    201608016NP-PP
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    201608016NP-PP
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    License Number State |    OR
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    201608016NP-PP
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    License Number State |    OR
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