Individual
JESSE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 BROADWAY ST STE 500, VANCOUVER, WA 98660-3307
(360) 690-0081
Mailing address
12615 SE BUSH ST, PORTLAND, OR 97236-3422
(503) 730-9791
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA60496962
WA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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