Individual
MR. MATTHEW CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1400 NW IRVING ST APT 416, PORTLAND, OR 97209-2254
(503) 893-4560
Mailing address
1400 NW IRVING ST APT 416, PORTLAND, OR 97209-2254
(503) 893-4560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201908704NP-PP
OR
Other
Enumeration date
10/03/2019
Last updated
03/23/2022
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