Individual
SAMUEL CHRISTOFER CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 597-3130
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 597-3130
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD1508620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801031588
—
WA
Enumeration date
12/09/2008
Last updated
02/13/2017
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