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NPI Code Detail

MEDICARE: DR. ANGELENA CROWN MD

MEDICARE: DR. ANGELENA CROWN MD
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
1208600000XSurgery PhysicianMD61079261WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093158941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELENA CROWN MD
Provider Business Mailing Address
First Line : PO BOX 5127
Second Line :
City : EVERETT
State : WA
Zip : 98206-5127
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 904 7TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1132
Country : US
Telephone Number : 206-860-4495
Fax Number : 206-720-8457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 02/03/2026

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