Individual
MS. CRYSTAL ANN NEBEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.D.P., CADC I, B.S.
Contact information
Practice address
9111 NE SUNDERLAND AVE, PORTLAND, OR 97211-1708
(503) 280-6646
(360) 280-6081
Mailing address
9111 NE SUNDERLAND AVE, PORTLAND, OR 97211-1708
(503) 280-6646
(503) 280-6081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60130440
WA
171M00000X
Case Manager/Care Coordinator
Primary
09-09-37
OR
Other
Enumeration date
03/28/2010
Last updated
04/12/2012
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