Individual
CHANELLE CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(612) 267-2277
Mailing address
3519 NE 15TH AVE # 307, PORTLAND, OR 97212-2356
(612) 267-2277
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC219507
OR
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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