Individual
PAIGE CRAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 258-4690
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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