Mary Katherine Crabtree, DNSC., ANP, PROFESSO

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Practice address

4610 SE Belmont St
Suite 60
Portland, OR 97215-1752

Phone

(503) 988-5303

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Housecall Providers Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1619915774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366497281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13045 SW KATHERINE ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972231899",
            "telephone_number": "503-590-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 SE BELMONT ST",
            "address_2": "SUITE 60",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151752",
            "telephone_number": "503-988-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Prof.",
        "credential": "DNSC., ANP, PROFESSO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022662",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CPM Medicine LLC
• Brian James Crabtree, CRM, CADC-R
• Elizabeth Ann Crabtree, LCSW
• Julie Crabtree, RN
• Mary Ann Crabtree, CRMII, PWS, CACD-R
• Matthew Crabtree, PMHNP-BC
• Owen Hugh Crabtree
• Peter H. Crabtree, PSY.D.
• Rylie Crabtree
• Stefan-Eugen Craciun, M.D.

• Adult Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.