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TODD SHANE CROCENZI M.D.
NPI 1336130806
Internal Medicine - Medical Oncology in Portland, OR

Active since November 02, 2005
4805 NE GLISAN ST, 6N40, PORTLAND, OR 97213(503) 215-5696(503) 215-5695 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Todd Shane Crocenzi M.d. NPPES

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

TODD SHANE CROCENZI M.D. (NPI 1336130806) is an individual medical oncology provider in Portland, Oregon, licensed in Oregon (MD26231) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1336130806
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameTODD SHANE CROCENZICredential: M.D.
Location Address4805 NE GLISAN ST, 6N40Portland, OR 97213-2933
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 215-5696
Fax(503) 215-5695
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateOctober 29, 2008
✔ NPI 1336130806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in OR · MD26231
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
4805 NE GLISAN ST, Portland, OR 97213
Open in Google Maps ↗

Other Identifiers 1

Medicaid027918OR

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.

SALONA SHRESTHA MD
Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-2392
PROVIDENCE HEALTH & SERVICES - OREGON
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 451-3000
DR. ROBERT THOMAS MARTIN M.D.
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 297-6334
CECILIA BRADFORD CRNA
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-4323
GITA D GELFER DO
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Multnomah County (503) 215-2392
MECCA CARTER
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
JESUS ERNESTO CONRIQUE GARCIA
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111

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 Todd Crocenzi's NPI number?

The NPI number for Todd Crocenzi is 1336130806. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Todd Crocenzi located?

Todd Crocenzi practices at 4805 NE Glisan St 6n40, Portland, OR 97213. The listed phone number is (503) 215-5696.

What is Todd Crocenzi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Todd Crocenzi was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.