Individual
LENA CRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(617) 733-6363
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(617) 733-6363
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201250131NP
OR
Other
Enumeration date
09/18/2012
Last updated
09/19/2012
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