CARLA JEANNE CROCKFORD

VANCOUVER, WA
NPI1467478867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP30006594)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  200450092NP PMHNP-PP)
Enumeration Date2006-07-15
Last Update Date2024-10-16
Business Address
CARLA JEANNE CROCKFORD ARNP/PMHNP
7600 NE 41ST ST STE 203
VANCOUVER, WA 98662-6772
Phone number: 360-253-6425
Mailing Address
CARLA JEANNE CROCKFORD ARNP/PMHNP
7600 NE 41ST ST STE 203
VANCOUVER, WA 98662-6772
Phone number: 360-253-6425