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1700636289
CRYSTAL ANN BASLER
PORTLAND, OR
NPI
1700636289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 23-02-10647)
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
CRYSTAL ANN BASLER CADC I
11926 NE SANDY BLVD
PORTLAND, OR 97220
Phone number: 971-601-5218
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Mailing Address
CRYSTAL ANN BASLER CADC I
10447 SE 23RD AVE APT B
MILWAUKIE, OR 97222-7500
Phone number: 971-601-5218
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