MEDICARE: THOMAS JOSEPH CROY MD

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	207X00000X	Orthopaedic Surgery Physician	MD17748	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770579237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS JOSEPH CROY MD

Provider Business Mailing Address
First Line	:	PO BOX 3158
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 N PROVIDENCE DR STE 210
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-7523
Country	:	US
Telephone Number	:	503-537-5620
Fax Number	:	971-282-0099

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	04/28/2025

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Directions to “ THOMAS JOSEPH CROY MD” Practice Location

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