Individual
MRS. CRYSTAL MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5234 SW PHILOMATH BLVD, CORVALLIS, OR 97333-1042
(541) 768-4970
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
03/17/2023
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