Individual
JOHNETTE L CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 NW SAMMAMISH RD, BLDG B, ISSAQUAH, WA 98027-5364
(425) 394-0700
(425) 394-0701
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040417
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195508
LABOR AND INDUSTRIES
WA
05
—
8286254
—
WA
Enumeration date
12/15/2006
Last updated
02/06/2009
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