Individual
MICHELLE L KRUMMENACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9123 SE SAINT HELENS ST STE 100F, CLACKAMAS, OR 97015-6800
(503) 740-1971
(503) 771-2436
Mailing address
10117 SE SUNNYSIDE RD, SUITE F, BOX 1217, CLACKAMAS, OR 97015-7708
(503) 740-1971
(503) 771-2436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
98-07-34
OR
1041C0700X
Clinical Social Worker
Primary
L3197
OR
Other
Enumeration date
07/31/2006
Last updated
06/24/2025
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