Individual
BLAIN A CRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 BJUNE DR SE, SUITE 101, BAINBRIDGE ISLAND, WA 98110-2459
(206) 842-3222
(206) 842-1877
Mailing address
123 BJUNE DR SE, SUITE 101, BAINBRIDGE ISLAND, WA 98110-2459
(206) 842-3222
(206) 842-1877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043807
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186660
LABOR & INDUSTRIES
WA
01
—
0284290
DEPT OF LABOR AND INDUSTRIES
WA
05
—
8399065
—
WA
01
—
P00974408
RAILROAD MEDICARE
WA
Enumeration date
06/28/2006
Last updated
12/02/2013
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