Crabtree, Mary Katherine

Crabtree, Mary Katherine is an individual health care provider with primary practice located at 4610 Se Belmont St Suite 60, Portland OR 97215-1752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Crabtree, Mary Katherine can be contacted via phone (503) 988-5303.

Contact Information

Primary practice address
4610 Se Belmont St Suite 60 Portland OR 97215-1752
Phone: (503) 988-5303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X Oregon

Profile Details

NPI number 1366497281
LBN Legal business name Crabtree, Mary Katherine
Credentials DNSC., ANP, PROFESSO
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1366497281 NPPES
Oregon MEDICAID 022662

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