Provider Demographics
NPI:1386805455
Name:CRAWFORD, KELSEY LYNN (MA)
Entity type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:LYNN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21226 SW LADYFERN DR
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-8907
Mailing Address - Country:US
Mailing Address - Phone:503-550-0864
Mailing Address - Fax:
Practice Address - Street 1:10766 SE HIGHWAY 212
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9164
Practice Address - Country:US
Practice Address - Phone:503-333-2502
Practice Address - Fax:503-655-6806
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2008-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor