Crittenden, Walter
Crittenden, Walter is an individual health care provider with primary practice located at 707 Sw Washington St Suite 700, Portland OR 97205-3536. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Crittenden, Walter can be contacted via phone (503) 299-9906.Contact Information
Primary practice address
707 Sw Washington St Suite 700
Portland OR 97205-3536
Phone: (503) 299-9906
Fax: (503) 225-9002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 8185 | Oregon |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD172211 | Oregon |
Profile Details
| NPI number | 1710913611 |
|---|---|
| LBN Legal business name | Crittenden, Walter |
| Credentials | PHARM.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Oct 11th, 2018 - about 7 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 | 1710913611 | NPPES |
| Oregon | MEDICAID | 500687696 |
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