Crystal Galloway, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

201042748 Issued in OR

Practice address

2301 Cove Ave
La Grande, OR 97850-3906

Phone

(541) 962-8800

Fax

(541) 963-5272

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2010.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1053621664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503906",
            "telephone_number": "541-962-8800",
            "fax_number": "541-963-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503906",
            "telephone_number": "541-962-8800",
            "fax_number": "541-963-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "CRYSTAL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "201042748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Y Frizzell, CADC II, CRM
• Jann M Fugelseth, OPTICIAN
• Gerry F Funk, MD
• Dana Marie Gaerke, OTR/L
• Katie G Gallegos
• Kathy Deann Ganung
• Teodoro De Belen Garcia Jr., PHYSICAL THERAPIST
• Geraldine Gardner, D.O.
• Colby Garth
• Dehanna Lyn Gascon, FNP-BC

• All providers in La Grande, OR
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.