Individual
CRYSTAL RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 SE STARK ST, PORTLAND, OR 97214-3053
(503) 535-4863
Mailing address
3060 SE STARK ST, PORTLAND, OR 97214-3053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
LP2672
OR
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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