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Individual

NICHOLE MARIE CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC-R

Contact information

Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
Mailing address
18659 SW STUBBLEFIELD WAY APT 38, ALOHA, OR 97003-6606
(503) 440-8646

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4132
OR

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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