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General NPI Number Information
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NPI Number | 1508916339
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Entity Type | Individual
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Provider Name | TIM L CRUMP MSN, FNP
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | UP UNIVERSITY HEALTH CENTER 5000 N WILLAMETTE BLVD
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City | PORTLAND
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State | OR
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Zip | 97203-5798
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Country | US
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Telephone | 503-943-7134
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Fax | 503-943-7199
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Provider Business Mailing Address
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Address Line | 3126 NE EVERETT ST
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City | PORTLAND
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State | OR
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Zip | 97232-3253
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Country | US
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Telephone | 503-235-0140
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Fax |
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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 | 088006487N1 FNP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | OR
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