Krystal Elizabeth Gragg

NPI #1942911185 in Gresham, Oregon

Provider Information

NPI Number: 1942911185
Entity Type: Individual
Name: Krystal Elizabeth Gragg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 8, 2022
Last Updated: Dec 8, 2022

Practice Location

Address: 4101 NE DIVISION ST STE 100
City: Gresham
State: Oregon
ZIP Code: 97030-4617
Phone: (503) 666-3808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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