Individual
MR. KRISPIN MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
19013 NE COUCH LN, PORTLAND, OR 97230-7861
(971) 255-3220
Mailing address
19013 NE COUCH LN, PORTLAND, OR 97230-7861
(971) 255-3220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1452
MN
101YP2500X
Professional Counselor
Primary
C3873
OR
Other
Enumeration date
09/02/2015
Last updated
06/25/2024
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