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NPI Code Detail

MEDICARE: CHRISTINE L CRANK MD

MEDICARE: CHRISTINE L CRANK 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
1208000000XPediatrics PhysicianMD221494OR
2208000000XPediatrics PhysicianMD60315147WA

General Provider Information

NPI Number : 1386803161
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE L CRANK MD
Provider Business Mailing Address
First Line : PO BOX 2605
Second Line :
City : YAKIMA
State : WA
Zip : 98907-2605
Country : US
Telephone Number : 509-454-4143
Fax Number : 509-454-3651
Provider Business Practice Location Address
First Line : 1615 DELAWARE ST
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2367
Country : US
Telephone Number : 360-414-2385
Fax Number : 360-414-2386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2008
Last Update Date : 12/19/2025

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Directions to “ CHRISTINE L CRANK MD” Practice Location

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