Individual
CRYSTAL MILLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 OLYMPIA WAY, LONGVIEW, WA 98632-4505
(360) 545-7630
Mailing address
1446 ROSS LN N, MEDFORD, OR 97501-1744
(541) 840-1851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
609739H
WA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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