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NPI Code Detail

MEDICARE: FLORENCE CRIPE

MEDICARE: FLORENCE CRIPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC7300OR

General Provider Information

NPI Number : 1588153837
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE CRIPE
Provider Business Mailing Address
First Line : 3305 VITTORIA WAY APT 25
Second Line :
City : NEWBERG
State : OR
Zip : 97132-1509
Country : US
Telephone Number : 503-501-7964
Fax Number :
Provider Business Practice Location Address
First Line : 7455 SW BEVELAND RD # 8610
Second Line :
City : TIGARD
State : OR
Zip : 97223-8610
Country : US
Telephone Number : 971-380-4101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 03/02/2026

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Directions to “ FLORENCE CRIPE ” Practice Location

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