Active NPI
Crystal Ann Miller, RRT, DHA
- Critical Care Registered Respiratory Therapist
- Gresham, OR
National Provider Identifier
1326698143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- License
- 10177776
- Practice address
- 77 SW Riverview PL
Gresham, OR 97080-6773 - Phone
- (503) 875-1922
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | 10177776 | OR | Primary |
| Registered Respiratory Therapist | 227900000X | LR0003193 | WA |
Addresses
Primary practice location
77 SW Riverview PL
Gresham, OR 97080-6773
Mailing address
77 SW Riverview PL
Gresham, OR 97080-6773
Phone (503) 875-1922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LR0003193 | WA | MD | Registered Respiratory Therapist |
| 10177776 | OR | MD | Critical Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Patient Care Coordinators | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Rehabilitation Registered Respiratory Therapist
- Gresham, OR
- NPI 1912549791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1326698143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SW RIVERVIEW PL",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970806773",
"telephone_number": "503-875-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 SW RIVERVIEW PL",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970806773",
"telephone_number": "503-875-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CRYSTAL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "RRT, DHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "OR",
"license": "10177776",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "WA",
"license": "LR0003193",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.