(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003290503
Provider Name: COLIN MCCRUDDEN MA, LPC
Entity Type: Individual
Taxonomy Code: 101YM0800X
Specialty: Counselor
License Number: C3409
Most Important Dates
Enumeration Date: 07/14/2015
Last Updated: 09/15/2015
Provider Practice Location
650 NE HOLLADAY ST
SUITE # 1637
PORTLAND
OR
972322045
Practice Location Phone/Fax
Phone: 9712660208
Fax:
Provider Mailing Location
650 NE HOLLADAY ST
SUITE # 1600
PORTLAND
OR
972322045
Provider Mailing Phone/Fax
Phone: 5032018223
Fax: