Kenric Brion Craver in Tigard - Medical

Kenric Brion Craver - NPI 1144414046

Kenric Brion Craver is a Medical in Tigard, Oregon. Kenric Brion Craver practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenric Brion Craver is 1144414046. The last update date is 2020-10-06.

Kenric Brion Craver's current location address is 18040 Sw Lower Boones Ferry Rd, Tigard, Oregon. You can contact this provider via phone number 5032160700. The mailing address for Kenric Brion Craver is 18040 Sw Lower Boones Ferry Rd, Tigard, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenric Brion Craver
Address 18040 Sw Lower Boones Ferry Rd, Tigard, Oregon
Phone Number 5032160700
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1144414046
Provider Enumeration Date 2007-09-04
Last Updated Date 2020-10-06

Provider Mailing Address Detail

Address 18040 Sw Lower Boones Ferry Rd
City Tigard
State Oregon (OR)
Post Code 972247258
Phone Number 5032160700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA01296
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kenric Brion Craver

What is the unique 10-digit identification code assigned to Kenric Brion Craver by the Centers for Medicare & Medicaid Services?

The Kenric Brion Craver has been issued the NPI (National Provider Identifier) 1144414046, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kenric Brion Craver is located?

The Kenric Brion Craver is situated at the following address: 18040 Sw Lower Boones Ferry Rd, Tigard, OR, 972247258.

What is Kenric Brion Craver's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenric Brion Craver is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did Kenric Brion Craver receive its 1144414046 assignment from the Centers for Medicare & Medicaid Services?

The Kenric Brion Craver was assigned its 1144414046 on 2007-09-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kenric Brion Craver most recently updated or refreshed?

The details pertaining to the Kenric Brion Craver, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-06.

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