Individual
VANIECA I KRAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1817 NE 17TH AVE, PORTLAND, OR 97212-4509
(503) 895-4328
Mailing address
2015 NW FLANDERS ST APT 310, PORTLAND, OR 97209-1169
(503) 895-4328
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0557
OR
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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