| Doctor Name: | CRYSTAL GALLOWAY |
| NPI Number: | 1053621664 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 201042748 |
| Business Practice Address: | 2301 Cove Ave La Grande, OR - 978503906 |
| Business Phone Number: | 5419628800 |
| Business Fax Number: | 5419635272 |
| Mailing Address: | 2301 Cove Ave, LA GRANDE |
| State: | OR |
| Postal Code: | 978503906 |
| Phone Number: | 5419628800 |
| Fax Number: | 5419635272 |
| NPI Enumeration Date: | 10/15/2010 |
| NPI Last Update Date: | 10/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 201042748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |