Individual
ANNALISE CRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 558-6979
Mailing address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 558-6979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-26-6430
OR
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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