Individual
AMBER M KREPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61206 SMALL GRAFFI RD, ENTERPRISE, OR 97828-3039
(541) 663-7039
Mailing address
61206 SMALL GRAFFI RD, ENTERPRISE, OR 97828
(541) 663-7039
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
NPC0003237
OR
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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