Individual
MIKAEL B CRAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
Mailing address
PO BOX 4268, PORTLAND, OR 97208-4268
(503) 372-2740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA887A
ID
Other
Enumeration date
08/14/2013
Last updated
08/14/2014
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