Individual
MS. CRYSTAL COLLEEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3716 SOUTHEAST INTERNATIONAL WAY, MILWAUKIE, OR 97222
(503) 659-0073
Mailing address
4349 SE MASON HILL DR, MILWAUKIE, OR 97222
(503) 528-6877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17581
OR
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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