Individual
CATHERINE CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1201 E 36TH AVE, ANCHORAGE, AK 99508-4372
(907) 562-9229
(907) 561-4806
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23720
CO
207Q00000X
Family Medicine Physician
Primary
7068
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01237205
—
CO
01
—
080046537
RAIL ROAD MEDICARE
CO
05
—
1571189
—
AK
01
—
23720
STATE MEDICAL LICENSE
CO
01
—
39924
BC/BS ANTHEM
CO
Enumeration date
05/30/2006
Last updated
02/16/2017
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