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1740515261
CRYSTAL JO MATTOX
PORTLAND, OR
NPI
1740515261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T0638)
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
-- CRYSTAL JO MATTOX LMFT
10175 SW BARBUR BLVD STE 300BB
PORTLAND, OR 97219-5916
Phone number: 503-975-8073
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Mailing Address
-- CRYSTAL JO MATTOX LMFT
10175 SW BARBUR BLVD STE 300BB
PORTLAND, OR 97219-5916
Phone number: 503-975-8073
Copy
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