Individual
CRYSTY LEE KREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(503) 390-5637
(503) 393-3135
Mailing address
940 RIVER BEND RD NW, SALEM, OR 97304-2109
(503) 910-5677
(503) 393-3135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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