Individual
MR. COLIN MCCRUDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
650 NE HOLLADAY ST, SUITE # 1637, PORTLAND, OR 97232-2045
(971) 266-0208
Mailing address
650 NE HOLLADAY ST, SUITE # 1600, PORTLAND, OR 97232-2045
(503) 201-8223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3409
OR
Other
Enumeration date
07/14/2015
Last updated
09/15/2015
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