Individual
DR. WILLIAM B. CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00035114
WA
2085R0202X
Diagnostic Radiology Physician
MD00035114
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD00035114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022150
—
WA
01
—
130433
L&I
WA
01
—
2229741
AETNA
—
01
—
300099391
RAILROAD MEDICARE
—
01
—
349219
L&I-RADIA REST OF WA
WA
01
—
349221
L&I-KING COUNTY
WA
05
—
8244550
—
WA
01
—
8923831
CRIME VICTIMS
WA
01
—
CR2598
REGENCE
WA
Enumeration date
02/17/2006
Last updated
05/18/2018
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