Colleran, Crystal

Colleran, Crystal is an individual health care provider with primary practice located at 4033 Talbot Rd S Ste 530 , Renton WA 98055-5700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Colleran, Crystal can be contacted via phone (425) 690-3433.

Contact Information

Primary practice address
4033 Talbot Rd S Ste 530 Renton WA 98055-5700
Phone: (425) 690-3433
Fax: (425) 690-9433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60285496 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60285496 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA053315 Pennsylvania

Profile Details

NPI number 1750568119
LBN Legal business name Colleran, Crystal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Aug 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750568119 NPPES
Washington MEDICAID 2019590

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