Individual
MICHELLE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1675 SW MARLOW AVE, PORTLAND, OR 97225-5104
(971) 806-3443
Mailing address
9776 SE 40TH AVE, MILWAUKIE, OR 97222-5781
(501) 679-3545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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