Crittenden, Marka Rae

Crittenden, Marka Rae is an individual health care provider with primary practice located at 4805 Ne Glisan St Garden Level, Portland OR 97213-2933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Crittenden, Marka Rae can be contacted via phone (503) 215-6029.

Contact Information

Primary practice address
4805 Ne Glisan St Garden Level Portland OR 97213-2933
Phone: (503) 215-6029
Fax: (503) 215-6387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD150151 Oregon

Profile Details

NPI number 1619187143
LBN Legal business name Crittenden, Marka Rae
Credentials M.D. PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619187143 NPPES
Washington MEDICAID 8558553
Washington MEDICAID 500610535

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