Individual
MR. JASON DAVID CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1200 PACIFIC TER, KLAMATH FALLS, OR 97601-1831
(541) 331-3029
Mailing address
1200 PACIFIC TER, KLAMATH FALLS, OR 97601-1831
(541) 331-3029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
970202(119602434)
OR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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