Individual
JONATHAN CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OHSU HOSPITAL, PORTLAND, OR 97239
(503) 494-8311
Mailing address
1950 MOUNT PLEASANT RD, KELSO, WA 98626-9220
(208) 310-1149
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201600864
OR
Other
Enumeration date
09/19/2012
Last updated
10/26/2021
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