Individual
CRYSTAL PEARL STANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7417 SW BEAVERTON HILLSDALE HWY, SUITE 200, PORTLAND, OR 97225-2169
(503) 291-7155
(503) 291-7152
Mailing address
7417 SW BEAVERTON HILLSDALE HWY, SUITE 200, PORTLAND, OR 97225-2169
(503) 291-7155
(503) 291-7152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19276
OR
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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