Individual
CRAIG A RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2000
(360) 604-1767
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD160522
OR
207R00000X
Internal Medicine Physician
Primary
MD60485450
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500626290
—
OR
01
—
P01253251
RR MEDICARE - PHS - 93-1097258
OR
Enumeration date
04/19/2010
Last updated
10/13/2020
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