CRYSTAL TANNER

REDMOND, OR
NPI1841936531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  T-22-1608)
Enumeration Date2022-05-06
Last Update Date2022-05-06
Business Address
CRYSTAL TANNER
340 NW 5TH ST
REDMOND, OR 97756-1869
Phone number: 541-516-4087
Mailing Address
CRYSTAL TANNER
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4087