Crystal Colleran is a Surgical in Renton, Washington. Crystal Colleran practices all healthcare services and medical treatments related to Surgical. The NPI Number for Crystal Colleran is 1750568119. The last update date is 2021-08-19.
Crystal Colleran's current location address is 4033 Talbot Rd S Ste 530, Renton, Washington. You can contact this provider via phone number 4256903433 and fax number 4256909433. The mailing address for Crystal Colleran is 4033 Talbot Rd S Ste 530, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Colleran |
|---|---|
| Address | 4033 Talbot Rd S Ste 530, Renton, Washington |
| Phone Number | 4256903433 |
| Fax Number | 4256909433 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750568119 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2021-08-19 |
Provider Mailing Address Detail
| Address | 4033 Talbot Rd S Ste 530 |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980555700 |
| Phone Number | 4256903433 |
| Fax Number | 4256909433 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA60285496 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2019590 | WA | -- |
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What is the unique 10-digit identifier code assigned to Crystal Colleran by the Centers for Medicare & Medicaid Services?
The Crystal Colleran has been issued the NPI (National Provider Identifier) 1750568119 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Crystal Colleran's physical address?
The Crystal Colleran is physically located at 4033 Talbot Rd S Ste 530, in the city of Renton, WA, with the postal code 980555700.
What is Crystal Colleran's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crystal Colleran is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
On what date was the 1750568119 assigned to Crystal Colleran?
The Crystal Colleran was issued its 1750568119 on 2008-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Crystal Colleran's information last updated?
The Crystal Colleran's information was last updated on 2021-08-19.