Whalio Doctors

NPI 1336433085

Jacob Emerson Crothers, MD

Practitioner Addiction Medicine (Preventive Medicine) Physician Portland, ME

Practice location

Address
222 Saint John St STE 322, Portland, ME 04102-3059
Phone
(207) 560-3422

Registered specialties (3)

Addiction Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence MD20886 (ME)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 052724 (CT)
Addiction Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 052724 (CT)

Registry record

NPI
1336433085
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 May 2011
Record last updated
26 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.