MATT STEPHEN CRUMBAKER

PORTLAND, OR
NPI1891831616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-29
Last Update Date2011-07-07
Business Address
-- MATT STEPHEN CRUMBAKER qmhp
521 SW 11TH AVE
PORTLAND, OR 97205-2634
Phone number: 503-572-1755
Mailing Address
-- MATT STEPHEN CRUMBAKER qmhp
521 SW 11TH AVE
PORTLAND, OR 97205-2634
Phone number: 503-572-1966
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