Doctor Name: | DR. EMILY CRANSTON |
NPI Number: | 1154617801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OT014064 |
Business Practice Address: | 401 15th Ave Se Puyallup, WA - 983723715 |
Business Phone Number: | 2536974000 |
Business Fax Number: | |
Mailing Address: | 1111 E Union St, Apt 515 SEATTLE |
State: | WA |
Postal Code: | 981223923 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/21/2011 |
NPI Last Update Date: | 06/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | OT014064 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |