Crystal Chante Vazquez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10002052 Issued in OR

Practice address

12045 SE Stanley Ave
Milwaukie, OR 97222-2938

Phone

(503) 659-2323

NPI assigned

Aug 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Crystal Chante Ramirez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1972386761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 SE STANLEY AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222938",
            "telephone_number": "503-659-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 SE STANLEY AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222938",
            "telephone_number": "503-659-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CRYSTAL",
        "middle_name": "CHANTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "10002052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "RAMIREZ",
            "middle_name": "CHANTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine W. Vanwagner, MSPT
• Adrian E Varela, MD
• Izarra Varela
• Barbara C Vaughan, PTA
• Brian Roger Vaughn, COTA
• Maureen Ann Veatch, MA, LPC
• Maria Nancy Manongsong Velante, PTA
• Omar Velazquez, MD
• Luis Velez, PTA
• Sheryl Ann Venton, OCCUPATIONAL THERAPI

• Licensed Practical Nurse in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.