MEDICARE: LINDA CRASKA SELBY 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	207QS0010X	Sports Medicine (Family Medicine) Physician	MD23626	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	:	1831165232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA CRASKA SELBY MD

Provider Business Mailing Address
First Line	:	557 W WASHINGTON ST
Second Line	:
City	:	BURNS
State	:	OR
Zip	:	97720-1441
Country	:	US
Telephone Number	:	541-573-7281
Fax Number	:	541-573-8627

Provider Business Practice Location Address
First Line	:	559 W WASHINGTON ST
Second Line	:
City	:	BURNS
State	:	OR
Zip	:	97720-1441
Country	:	US
Telephone Number	:	541-573-2074
Fax Number	:	541-573-8893

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	11/11/2025

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