Individual provider · Type 1 NPI

Naomi Lynn Crilley, PA

Surgical Physician Assistant · Portland, ME

NPI number 1508334954 Active

Practice location

818 Congress St
Portland, ME 04102-3112

Fax (207) 773-1489

Other practice locations

  • 300 Longwood Ave, Boston, MA 02115-5724 · (617) 355-6000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X6968 (MA)
Surgical Physician Assistant Primary 363AS0400XPA3143 (ME)
Physician Assistant 363A00000XPA3143 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1508334954

Naomi Lynn Crilley, PA's National Provider Identifier is 1508334954, issued on Nov 4, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Oct 20, 2026.