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Individual

WILLACLARE FRANKLIN CRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16205 NW BETHANY CT STE 116, BEAVERTON, OR 97006-4687
(503) 860-6525
Mailing address
16205 NW BETHANY CT STE 116, BEAVERTON, OR 97006-4687
(503) 860-6525

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60835
106S00000X
Behavior Technician

Other

Enumeration date
11/06/2018
Last updated
11/17/2022
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