Alley, Crystell Annette

Alley, Crystell Annette is an individual health care provider with primary practice located at 300 W Main St , Medford OR 97501-2756. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Alley, Crystell Annette can be contacted via phone (458) 212-9986.

Contact Information

Primary practice address
300 W Main St Medford OR 97501-2756
Phone: (458) 212-9986
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-22-1959 Oregon

Profile Details

NPI number 1184290827
LBN Legal business name Alley, Crystell Annette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2021
Last updated Sep 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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