Individual
CRYSTAL DEFRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 SE POWELL BLVD, PORTLAND, OR 97202-2345
(503) 233-6121
Mailing address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
03/29/2016
Last updated
03/18/2020
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