Search › Oregon › 363A00000X
Kenric Craver, PA
NPI 1144414046 · on the registry since 2007
Practice
- Address
- 18040 Sw Lower Boones Ferry Rd
Tigard, OR 97224 - Phone
- (503) 216-0700
- Organisation at this address
- Medical Imaging Group, Llc
Bridgeport Medical Imaging, Llc
Providence Health & Services Oregon
Northwest Extremity Specialists Llc
Providence Health & Services OregonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Additional practice sites
- 10123 Se Market St, Portland, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon