Individual
DR. WILLIAM MARSHALL CRABTREE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5639 HOOD ST, WEST LINN, OR 97068-3235
(509) 607-4673
(503) 650-7855
Mailing address
5639 HOOD ST, WEST LINN, OR 97068-3235
(509) 607-4673
(503) 650-7855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
IR 60281819
WA
183500000X
Pharmacist
Primary
PI-0010778
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR 60281819
STATE PHARMACY INTERN LICENSE
WA
01
—
RPH-0013722
OR BOARD OF PHARMACY
OR
Enumeration date
09/26/2012
Last updated
03/14/2014
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