Individual
KRYSTLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4289 SW BATTAGLIA PL, GRESHAM, OR 97080-8645
(503) 930-4385
Mailing address
10117 SE SUNNYSIDE RD SUITE 1179, CLACKAMAS, OR 97015
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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