Individual
JAMES T CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 E KESSLER BLVD, LONGVIEW, WA 98632-1842
(360) 747-5800
(360) 575-3846
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 747-5800
(360) 636-2336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00035704
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080128574
RR MEDICARE
—
01
—
118361
LABOR & IND.
WA
05
—
150947
—
OR
05
—
8220782
—
WA
01
—
8921236
CRIME VICTIMS
WA
Enumeration date
07/05/2005
Last updated
06/27/2025
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