Individual
ELISE CRUTSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11035 NE SANDY BLVD., PORTLAND, OR 97220
(971) 347-7593
Mailing address
15 SW HAMILTON CT., APT. 3, PORTLAND, OR 97239
(503) 914-9602
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
11/16/2022
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