Organization
CRESSALL PSYCHIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRE CRESSALL PMHNP-BC (OWNER)
(541) 232-3131
Entity
Organization
Contact information
Practice address
240 E 12TH AVE, EUGENE, OR 97401-3245
(541) 232-3131
(541) 357-9952
Mailing address
PO BOX 42283, EUGENE, OR 97404-0600
(541) 232-3131
(541) 357-9952
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
201500826NP-PP
OR
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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