Individual
CRYSTAL COLLERAN
Active
Individual
CRYSTAL COLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60285496
WA
363AS0400X
Surgical Physician Assistant
Primary
MA053315
PA
363AS0400X
Surgical Physician Assistant
PA60285496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019590
—
WA
Enumeration date
01/29/2008
Last updated
08/19/2021
Update your record
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