Ellilea Crumal

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3655 NE Garfield Ave
Portland, OR 97212-2094

Phone

(971) 732-2144

NPI assigned

Oct 28, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ellilea Cook Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1922436005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212409",
            "telephone_number": "971-732-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 NE GARFIELD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122094",
            "telephone_number": "971-732-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMAL",
        "first_name": "ELLILEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLILEA",
            "last_name": "COOK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keith Crowner
• Dawn-Starr Crowther, L.AC., L.M.T.
• Cassandra May Croxton, CRM
• Steven F Croy
• Alexandria Crum
• Matt Stephen Crumbaker, QMHP
• Nathaniel L Crumet, MD
• Jacob Kendall Crumley
• Mason Crumley, LMT
• Jasmin Crump, LMT

• Case Manager/Care Coordinator in Portland, OR
• Providers in Portland, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.