Individual
KRISTA CREEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17070 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4960
(503) 594-1772
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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