Provider Demographics
NPI:1902094386
Name:CRANFORD., STEVEN GARY (DC, ND)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:GARY
Last Name:CRANFORD.
Suffix:
Gender:M
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060
Mailing Address - Country:US
Mailing Address - Phone:503-232-7609
Mailing Address - Fax:503-232-3463
Practice Address - Street 1:501 NE HOOD AVE. SUITE #140
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030
Practice Address - Country:US
Practice Address - Phone:503-232-7609
Practice Address - Fax:503-232-3463
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1232-DC111N00000X
OR362-ND175F00000X
OR0362ND.175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0000QGBGQMedicare PIN