Individual
JESSICA LEE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14083 SE 116TH AVE, CLACKAMAS, OR 97015-8671
(503) 830-4601
Mailing address
14083 SE 116TH AVE, CLACKAMAS, OR 97015-8671
(503) 830-4601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T6258
OR
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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