Craven, James Patrick
Craven, James Patrick is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Ste 235 , Tualatin OR 97062-7745. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Craven, James Patrick can be contacted via phone (503) 692-5650.Contact Information
Primary practice address
19250 Sw 65Th Ave Ste 235
Tualatin OR 97062-7745
Phone: (503) 692-5650
Fax: (503) 692-7903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD18789 | Oregon |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD18789 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD18789 | Oregon |
Profile Details
| NPI number | 1205811890 |
|---|---|
| LBN Legal business name | Craven, James Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Nov 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205811890 | NPPES |
| Washington | MEDICAID | 2040282 | |
| Washington | MEDICAID | 063867 | |
| Washington | Other | 020039057 |
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