MR. MARK CROCKER I

Community Health Worker

Active Individual
NPI: 1073814208

Practice Address

530 NW 27TH STREET
Corvallis, OR 97330

Phone: (541) 766-6835

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1073814208 is the National Provider Identifier for MR. MARK CROCKER I, a Community Health Worker provider located in Corvallis, OR. This NPI was enumerated on November 4, 2010.
MR. MARK CROCKER I practices at 530 NW 27TH STREET, Corvallis, OR 97330.

Quick Facts

NPI
1073814208
Type
Individual
Enumerated
Nov 4, 2010
Last Updated
Jun 15, 2011

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