Individual
AMY LOUISE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29197 SW ORLEANS AVE, WILSONVILLE, OR 97070-7388
(503) 427-0182
(503) 427-0228
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201140610RN
OR
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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