Griffin, Craigan Todd
Griffin, Craigan Todd is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Griffin, Craigan Todd can be contacted via phone (541) 322-3570.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 322-3570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD 24850 | Oregon |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD 24850 | Oregon |
Profile Details
| NPI number | 1407839798 |
|---|---|
| LBN Legal business name | Griffin, Craigan Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Apr 15th, 2013 - about 11 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 | 1407839798 | NPPES |
| Oregon | MEDICAID | 029035 | |
| Oregon | Other | P01072731 |
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