Provider Demographics
NPI:1831872415
Name:CRANE, JONATHAN WILLIAM RALPH
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:WILLIAM RALPH
Last Name:CRANE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 126TH ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8964
Mailing Address - Country:US
Mailing Address - Phone:253-306-4860
Mailing Address - Fax:
Practice Address - Street 1:3612 126TH ST NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-8964
Practice Address - Country:US
Practice Address - Phone:253-306-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other