Individual
BREHAN REID CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
222 SE FORD ST, MCMINNVILLE, OR 97128-6114
(503) 548-7834
Mailing address
222 SE FORD ST, MCMINNVILLE, OR 97128-6114
(503) 548-7834
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150594
OR
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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