Jacqulyn Lee Crandall
Jacqulyn Lee Crandall is a Developmental Disabilities Clinic/Center in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
9115 SW Oleson Rd Ste 100Portland, OR 97223-6876
Phone: (650) 243-9849
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1910 Se Currin Dr, Hillsboro, OR 97123-5121 — (503) 830-5376
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|---|
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X |
Record details
| NPI number | 1144717752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2018 |
| Last updated in NPPES | April 18, 2018 |
| Mailing address | 9115 Sw Oleson Rd Ste 100, Portland, OR 97223-6876 |
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