Individual
CRYSTAL ANNE BEAHM NEIDEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305
(503) 361-5400
Mailing address
2400 LANCASTER DRIVE NE, SALEM, OR 97305
(503) 361-5400
(503) 838-8801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00677
OR
Other
Enumeration date
08/22/2006
Last updated
12/19/2021
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