CRYSTAL R DUTRA

SALEM, OR
NPI1245809581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: OR  DEM-LD-10215279)
Enumeration Date2021-06-21
Last Update Date2021-06-21
Business Address
CRYSTAL R DUTRA CPM, LDM
1130 LIBERTY ST SE STE 5
SALEM, OR 97302-4143
Phone number: 503-930-9934
Mailing Address
CRYSTAL R DUTRA CPM, LDM
595 15TH ST NE
SALEM, OR 97301-2615
Phone number: 503-930-9934
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