Individual
JOHN CARL CRIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4110 PACIFIC AVE, SUITE 102, FOREST GROVE, OR 97116-2266
(503) 601-5400
(503) 601-5410
Mailing address
4110 PACIFIC AVE, SUITE 102, FOREST GROVE, OR 97116-2266
(503) 601-5400
(503) 601-5410
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0692
OR
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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