PROF. MARY KATHERINE CRABTREE DNSC. ANP PROFESSO NPI 1366497281

NPI Information

  • NPI: 1366497281
  • Provider Name: PROF. MARY KATHERINE CRABTREE, DNSC., ANP, PROFESSO
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 4610 SE BELMONT ST
    SUITE 60
    PORTLAND, OR
    ZIP 97215
  • Phone: (503) 988-5303

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NPI Details

PROF. Mary Katherine Crabtree, DNSC., ANP, PROFESSO is an adult health nurse practitioner in Portland, OR. PROF. Mary Katherine Crabtree, DNSC., ANP, PROFESSO NPI is 1366497281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4610 SE BELMONT ST
SUITE 60
PORTLAND, OR
ZIP 97215-752
Phone: (503) 988-5303

The enumeration date for this NPI number is 5/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1022662MEDICAIDOREGON
2Q20589MEDICARE UPINOREGON
3120137MEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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