Individual
ELIZABETH CREPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1623 21ST ST STE B, SPRINGFIELD, OR 97477-3417
(541) 744-8743
Mailing address
1623 21ST ST STE B, SPRINGFIELD, OR 97477-3417
(541) 744-8743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18827
OR
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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