Individual
DR. DOUGLAS GORDON CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 N CENTRAL BLVD, COQUILLE, OR 97423-1274
(541) 329-0144
(541) 329-0143
Mailing address
PO BOX 194, COQUILLE, OR 97423-0194
(541) 329-0144
(541) 329-0143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22263
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577260001
DMERC NUMBER
OR
01
—
110199508
RR MEDICARE PTAN NUMBER
OR
05
—
288488
—
OR
01
—
CD8723
RR MEDICARE GROUP NUMBER
OR
01
—
R0000WFBTV
GROUP PIN NUMBER
OR
Enumeration date
12/21/2005
Last updated
06/03/2025
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