Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MD00018065 | WA |
NPI | 1184726903 |
---|---|
Provider Name | Dr. Ann Rosemary Crawford |
First Address | Tacoma, WA 98403-2350 |
Second Address | Kent, WA 98030-4975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1609502 | (05) | WA |
182343 | LABOR AND INDUSTRIES PROV (01) | WA |
B18258 | (02) | WA |
MD00018065 | MEDICAL; LICENSE (01) | WA |