Individual
BREEANNA CRABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 444-9695
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4491
OR
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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