Individual
KRISSY BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW, PWS
Contact information
Practice address
1550 NW EASTMAN PKWY, GRESHAM, OR 97030-3858
(503) 610-3852
Mailing address
1550 NW EASTMAN PKWY, GRESHAM, OR 97030-3858
(503) 610-3852
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
113055
OR
175T00000X
Peer Specialist
Primary
113055
OR
Other
Enumeration date
01/10/2025
Last updated
06/20/2025
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