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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366497281 | NPPES |
| Oregon | MEDICAID | 022662 |
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