Individual provider · Type 1 NPI

Crystal Ross

Mental Health Counselor · Portland, OR

NPI number 1467837005 Active

Practice location

234 SE 7th Ave
Portland, OR 97214-1200

Call (503) 236-8492 Map

Fax (503) 238-8127

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467837005

Crystal Ross's National Provider Identifier is 1467837005, issued on Jul 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 24, 2015.