Individual
JAMES JASON CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 NW CIRCLE BLVD STE 102, CORVALLIS, OR 97330-1967
(541) 768-5486
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
057358
GA
208800000X
Urology Physician
Primary
MD153133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244129556A
—
GA
05
—
500642131
—
OR
01
—
975559
BC BS GEORGIA
GA
01
—
R163870
MEDICARE PROVIDER NUMBER
OR
Enumeration date
07/24/2006
Last updated
11/06/2020
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