| S. Kelly Crane, Llc | |
|
1355 W 13th Ave Eugene OR 97402-3955 | |
| (541) 357-4327 | |
| (542) 636-3607 |
| Full Name | S. Kelly Crane, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1355 W 13th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Susan Kelly Crane (MANAGER) |
| Authorized Official Contact | 5413574327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Kelly Crane, Llc Po Box 21424 Eugene OR 97402-0408 Ph: (541) 357-4327 | S. Kelly Crane, Llc 1355 W 13th Ave Eugene OR 97402-3955 Ph: (541) 357-4327 |
| NPI Number | 1619544244 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619544244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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