Individual
RONNIE JO CRAPSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 SE 70TH AVE, PORTLAND, OR 97206-2525
(503) 777-2278
(503) 774-3852
Mailing address
4114 SE 37TH AVE, PORTLAND, OR 97202-3226
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
10/16/2007
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