Individual
KRYSTAL F LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1427 NW FLANDERS ST STE A, PORTLAND, OR 97209-2646
(503) 972-0235
Mailing address
2459 SE TUALATIN VALLEY HWY # 416, HILLSBORO, OR 97123-7919
(503) 972-0235
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
105948
OR
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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