Individual
CRYSTAL SEULIN FO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8652
Mailing address
7511 SW 69TH AVE, UNIT 8, PORTLAND, OR 97223-9500
(808) 375-4085
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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