Crissy K Phommachack
NPI #1336017896 in Happy Valley, Oregon
Provider Information
- NPI Number
- 1336017896
- Entity Type
- Individual
- Name
- Crissy K Phommachack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - School
- Enumeration Date
- Oct 27, 2025
- Last Updated
- Oct 27, 2025
Practice Location
- Address
- 14843 SE PARKLANE DR APT 146
- City
- Happy Valley
- State
- Oregon
- ZIP Code
- 97015-5537
- Phone
- (503) 575-5130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - School — School |
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