Individual
ANDREA TAYLOR CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015-5767
(503) 953-1230
Mailing address
9200 SE SUNNYBROOK BLVD STE 8904, CLACKAMAS, OR 97015-5762
(503) 953-1230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MD29354
OR
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
07/17/2026
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