Crystal R. Dutra, CPM, LDM

Midwife · Salem, OR

Individual Active NPI

NPI number 1245809581

Practice location

1130 Liberty St SE Ste 5
Salem, OR 97302-4143
Phone
(503) 930-9934

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NPI record

NPI
1245809581
Entity type
Individual (Type 1)
Enumeration date
June 21, 2021
Last updated
June 21, 2021
Certified
June 21, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Midwife Primary 176B00000X DEM-LD-10215279 OR

Mailing address

595 15TH St NE
Salem, OR 97301-2615
Phone
(503) 930-9934

About Crystal Dutra

Crystal R. Dutra, CPM, LDM is a healthcare provider registered in the NPI registry with the primary taxonomy Midwife (code 176B00000X). The practice location is 1130 Liberty St SE Ste 5, Salem, OR 97302-4143. The NPI number 1245809581 was assigned on June 21, 2021 and the record was last updated on June 21, 2021.

Crystal Dutra lists a license in the registry: #DEM-LD-10215279 (OR) for Midwife. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal R. Dutra, CPM, LDM?

The NPI number is 1245809581.

What is the phone number of Crystal Dutra?

The phone number listed for the practice location is (503) 930-9934.

Where is Crystal Dutra located?

1130 Liberty St SE Ste 5, Salem, OR 97302-4143.

What is the taxonomy code for Crystal Dutra?

The primary taxonomy code is 176B00000X – Midwife.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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