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Individual

DR. GREGORY CRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD28223
OR
207L00000X
Anesthesiology Physician
MT183861
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
246088
OR
05
8515355
WA
Enumeration date
05/03/2007
Last updated
11/20/2023
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