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AMY JENNIFER MALIA CROCKFORD
NPI 1104102813
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since October 26, 2011
5200 SW MACADAM AVE, # 580, PORTLAND, OR 97239(503) 231-7854 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2015, Nov 20, 2015 (2 updates tracked since 2015).

About Amy Jennifer Malia Crockford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY JENNIFER MALIA CROCKFORD (NPI 1104102813) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1104102813
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMY JENNIFER MALIA CROCKFORD
Location Address5200 SW MACADAM AVE, # 580Portland, OR 97239
Mailing Address5200 Sw Macadam Ave, # 580Portland, OR 97239
Phone(503) 231-7854
Sole ProprietorNo
Enumeration DateOctober 26, 2011
Last NPPES UpdateDecember 2, 20152 updates tracked since enumeration
✔ NPI 1104102813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
5200 SW MACADAM AVE, Portland, OR 97239
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BETSY E TRUMBULL LCSW
Social Worker (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MR. LANDON MICHAELS PSY.D.
Psychologist
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MS. ANNETTE KATHLEEN SABATER P.T.
Physical Therapist
5200 SW MACADAM AVE, STE 100, THERAPY SOLUTIONS FOR KIDS
PORTLAND, OR 97239
Multnomah County (503) 224-1998
MRS. TRACY MARIE JENDRITZA PSY D
Psychologist (Clinical)
5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MS. SOONIE ANN KIM PHD
Psychologist
5200 SW MACADAM AVE, #580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MARGARET CATHERINE DONOVAN PHYSICAL THERAPIST
Physical Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Multnomah County (503) 224-1998
MRS. LESLEY ELIZABETH FREELING PT
Physical Therapist (Pediatrics)
5200 SW MACADAM AVE
PORTLAND, OR 97239
Multnomah County (503) 224-1998
WESLEY GROUT
Occupational Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Multnomah County (503) 224-1998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Crockford's NPI number?

The NPI number for Amy Crockford is 1104102813. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Amy Crockford located?

Amy Crockford practices at 5200 SW Macadam Ave # 580, Portland, OR 97239. The listed phone number is (503) 231-7854.

What is Amy Crockford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amy Crockford was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.