Individual
RACHEL CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 WILLAMETTE ST, UMATILLA, OR 97882-6601
(541) 889-9167
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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