Individual provider · Type 1 NPI

Kenneth Lee Crandell, DC

Chiropractor · Portland, OR

NPI number 1225066632 Active

Practice location

11657 NE Glisan
Portland, OR 97220

Fax (503) 252-3199

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1923 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1225066632

Kenneth Lee Crandell, DC's National Provider Identifier is 1225066632, issued on Jun 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Nov 16, 2011.