Individual
DEBRA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 346-0640
Mailing address
26 SW BOUNDARY ST UPPR, PORTLAND, OR 97239-3976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63846
OR
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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