Individual provider · Type 1 NPI

Crystal Pearl Stander, LMT

Specialist · Portland, OR

NPI number 1558615401 Active

Practice location

7417 SW Beaverton Hillsdale Hwy, Suite 200
Portland, OR 97225-2169

Fax (503) 291-7152

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X19276 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1558615401

Crystal Pearl Stander, LMT's National Provider Identifier is 1558615401, issued on Oct 30, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Oct 30, 2012.