IndividualActive
Abraham Crockett, RN
NPI 1821464264 · Certified Registered Nurse Anesthetist · Redmond, OR
Provider details
- NPI number
- 1821464264
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 201041236RN (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1253 Nw Canal Blvd
Redmond, OR 97756-1334
Phone: (541) 526-6576
Fax: (541) 526-6675
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2847
Corvallis, OR 97339-2847
Additional practice locations (1)
- 930 Sw Abbey StNewport, OR 97365-4820Phone: (541) 265-2244
Registry dates
- Enumerated
- 2015-08-20
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.