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1891831616
MATT STEPHEN CRUMBAKER
PORTLAND, OR
NPI
1891831616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-29
Last Update Date
2011-07-07
Business Address
-- MATT STEPHEN CRUMBAKER qmhp
521 SW 11TH AVE
PORTLAND, OR 97205-2634
Phone number: 503-572-1755
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Mailing Address
-- MATT STEPHEN CRUMBAKER qmhp
521 SW 11TH AVE
PORTLAND, OR 97205-2634
Phone number: 503-572-1966
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