Individual
ELLILEA CRUMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 NE GARFIELD AVE, PORTLAND, OR 97212-2094
(971) 732-2144
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(971) 732-2144
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2013
Last updated
03/16/2025
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