Carolyn Claire Craig, MD | |
1818 E Rezanof Dr, Kodiak, AK 99615-6505 | |
(907) 481-2400 | |
(907) 481-2419 |
Full Name | Carolyn Claire Craig |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1818 E Rezanof Dr, Kodiak, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598225351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 210748 (Alaska) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538254347 PECOS PAC ID: 8628965910 Enrollment ID: O20040302000372 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477563344 PECOS PAC ID: 0547152217 Enrollment ID: O20040326001151 |
Entity Name | City Of Valdez |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962525097 PECOS PAC ID: 9931261005 Enrollment ID: O20081224000150 |
Entity Name | City Of Valdez |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427424282 PECOS PAC ID: 3577514694 Enrollment ID: O20160406001911 |
Mailing Address | Practice Location Address |
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Carolyn Claire Craig, MD Po Box 3290, Portland, OR 97208-3290 Ph: (866) 907-1068 | Carolyn Claire Craig, MD 1818 E Rezanof Dr, Kodiak, AK 99615-6505 Ph: (907) 481-2400 |