Individual
DR. JAMES PATRICK CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19250 SW 65TH AVE STE 235, TUALATIN, OR 97062-7745
(503) 692-5650
(503) 692-7903
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(505) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD18789
OR
2086S0129X
Vascular Surgery Physician
MD18789
OR
208C00000X
Colon & Rectal Surgery Physician
MD18789
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020039057
RAILROAD MEDICARE
OR
05
—
063867
—
OR
05
—
2040282
—
WA
Enumeration date
12/07/2005
Last updated
11/12/2024
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