Individual
DR. JOHN ROBERT CROSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4370 NE HALSEY ST, SUITE 101, PORTLAND, OR 97213-1543
(503) 220-1332
(503) 220-8531
Mailing address
4370 NE HALSEY ST, SUITE 101, PORTLAND, OR 97213-1543
(503) 220-1332
(503) 220-8531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
703
OR
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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