Crandall-Bass, Laurie Louise

Crandall-Bass, Laurie Louise is an individual health care provider with primary practice located at 2410 Se 121St Ave #216, Portland OR 97216-4066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Crandall-Bass, Laurie Louise can be contacted via phone (503) 544-4402.

Contact Information

Primary practice address
2410 Se 121St Ave #216 Portland OR 97216-4066
Phone: (503) 544-4402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1316111404
LBN Legal business name Crandall-Bass, Laurie Louise
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Nov 12th, 2009 - about 16 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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