Individual
RICHARD WAYNE CRAFT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24900 SE STARK ST STE 202, GRESHAM, OR 97030-3382
(503) 465-8887
(503) 465-8808
Mailing address
24900 SE STARK ST, STE 202, GRESHAM, OR 97030
(503) 465-8887
(503) 465-8808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16231
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044453
—
OR
Enumeration date
07/17/2006
Last updated
02/02/2023
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