Individual
CRYSTAL ANN BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
11926 NE SANDY BLVD, PORTLAND, OR 97220
(971) 601-5218
Mailing address
10447 SE 23RD AVE APT B, MILWAUKIE, OR 97222-7500
(971) 601-5218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-02-10647
OR
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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