Individual
AUTUMN KRISTINE MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SW SALMON ST FL 11, PORTLAND, OR 97204-2908
(855) 832-6727
Mailing address
475 E BROADWAY APT 133, EUGENE, OR 97401-5616
(949) 876-2268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10271743
OR
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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