Individual
LORETTA LYNN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 464-3900
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 464-3900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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