Individual
LISA MARIA CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
10180 SE SUNNYSIDE RD, SPEECH PATHOLOGY DEPARTMENT, CLACKAMAS, OR 97015-8970
(503) 652-2880
(503) 571-5838
Mailing address
10180 SE SUNNYSIDE RD, SPEECH PATHOLOGY DEPARTMENT, CLACKAMAS, OR 97015-8970
(503) 571-3823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11792
OR
Other
Enumeration date
08/31/2006
Last updated
01/04/2022
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