Individual
PROF. MARY KATHERINE CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNSC., ANP, PROFESSO
Contact information
Practice address
4610 SE BELMONT ST, SUITE 60, PORTLAND, OR 97215-1752
(503) 988-5303
Mailing address
13045 SW KATHERINE ST, TIGARD, OR 97223-1899
(503) 590-9800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022662
—
OR
Enumeration date
05/23/2006
Last updated
07/08/2007
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