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Individual

KRYSTAL TODERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
M.ED

Contact information

Practice address
5405 SE WOODWARD ST, PORTLAND, OR 97206-2199
(503) 916-5140
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1876

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
512576
OR

Other

Enumeration date
08/21/2025
Last updated
08/21/2025
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