Provider Demographics
NPI:1184726903
Name:CRAWFORD, ANN ROSEMARY (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:ROSEMARY
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 N YAKIMA AVE
Mailing Address - Street 2:# 2
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2350
Mailing Address - Country:US
Mailing Address - Phone:253-627-3779
Mailing Address - Fax:
Practice Address - Street 1:24031 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4975
Practice Address - Country:US
Practice Address - Phone:253-852-1824
Practice Address - Fax:253-859-5036
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000180652081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1609502Medicaid
WAMD00018065OtherMEDICAL; LICENSE
WA182343OtherLABOR AND INDUSTRIES PROV
WA000120054Medicare ID - Type Unspecified
WA182343OtherLABOR AND INDUSTRIES PROV