Craft, Robert M

Craft, Robert M is an individual health care provider with primary practice located at 19206 Sw 65Th Ave Ste 340, Tualatin OR 97062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Craft, Robert M can be contacted via phone (503) 691-9777.

Contact Information

Primary practice address
19206 Sw 65Th Ave Ste 340 Tualatin OR 97062
Phone: (503) 691-9777
Fax: (503) 692-6736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD17835 Oregon

Profile Details

NPI number 1699764613
LBN Legal business name Craft, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
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 1699764613 NPPES
Oregon MEDICAID 127436

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