Individual
JAMIE L CRNKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
(360) 735-8100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60476180
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2011
Last updated
10/06/2015
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