Crane, Mary Elizabeth

Crane, Mary Elizabeth is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801-0160. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crane, Mary Elizabeth can be contacted via phone (541) 966-9830.

Contact Information

Primary practice address
73265 Confederated Way Pendleton OR 97801-0160
Phone: (541) 966-9830
Fax: (541) 278-7572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-3458 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW-1306 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C2405 Oregon

Profile Details

NPI number 1043334899
LBN Legal business name Crane, Mary Elizabeth
Credentials LCPC, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jan 12th, 2010 - about 14 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 1043334899 NPPES
Oregon MEDICAID 171037

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