MEDICARE: DIANA CRANE COUNSELING

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
1	101Y00000X	Counselor		OR

General Provider Information

NPI Number	:	1851550982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIANA CRANE COUNSELING

Provider Business Mailing Address
First Line	:	8600 SW 10TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-4524
Country	:	US
Telephone Number	:	509-713-9541
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 SW 10TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-4524
Country	:	US
Telephone Number	:	509-713-9348
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED ASSOCIATE THERAPIST
Name	:	MISS DIANA CRANE
Credential	:	MA
Telephone Number	:	509-713-9348

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	03/27/2024

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