Individual
CRYSTAL DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5716 NE SUMNER ST, PORTLAND, OR 97218-2643
(925) 457-7974
Mailing address
5716 NE SUMNER ST, PORTLAND, OR 97218-2643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
238601
OR
Other
Enumeration date
07/03/2009
Last updated
03/20/2020
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