Search › Oregon › 103T00000X
Michael Crockett, PSYD
NPI 1780074807 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4316 Se 182nd Ave
Gresham, OR 97030 - Phone
- (503) 893-2249
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TB0200X
103TC1900X
103TP2701X - Sex
- Male
- Record last updated
- 2022-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon