Healthcare Provider Details

I. General information

NPI: 1063604668
Provider Name (Legal Business Name): C&R CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SW FRAZER AVE SUITE 102
PENDLETON OR
97801-2839
US

IV. Provider business mailing address

PO BOX 1205
PENDLETON OR
97801-0170
US

V. Phone/Fax

Practice location:
  • Phone: 541-278-8600
  • Fax: 541-278-8600
Mailing address:
  • Phone: 541-278-8600
  • Fax: 541-278-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL1416
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. CHERYL A PRICE
Title or Position: SOCIAL WORKER
Credential: MSW, LCSW
Phone: 541-278-8600