Individual
TASHIA MONIQUE CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
123573
OR
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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