Individual
CRYSTAL CALANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
730 NE 74TH AVE APT A, PORTLAND, OR 97213-6283
(503) 808-1495
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
14892
OR
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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