Individual
MS. LAURIE LOUISE CRANDALL-BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2410 SE 121ST AVE, #216, PORTLAND, OR 97216-4066
(503) 544-4402
Mailing address
3424 NE BRYCE ST, PORTLAND, OR 97212
(503) 544-4402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/18/2008
Last updated
11/12/2009
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