MEDICARE: CRANE HARDWARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1124475272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRANE HARDWARE LLC

Provider Business Mailing Address
First Line	:	4610 EVERGREEN WAY STE 8
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-2872
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4610 EVERGREEN WAY STE 8
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-2872
Country	:	US
Telephone Number	:	425-324-4053
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RUSSELL MURPHY
Credential	:
Telephone Number	:	425-324-4053

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	05/18/2016

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Directions to “CRANE HARDWARE LLC ” Practice Location

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