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Individual

JASON KIBBEY CRIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
456 SW MONROE AVE SUITE 108, CORVALLIS, OR 97333
(541) 791-3411
Mailing address
1604 MARION ST SE, ALBANY, OR 97322
(541) 981-8859

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-2353
OR

Other

Enumeration date
10/29/2024
Last updated
10/29/2024
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