CRISSY PHOMMACHACK

Counselor - School

Active Individual
NPI: 1336017896

Practice Address

14843 SE PARKLANE DR APT 146
Happy Valley, OR 97015

Phone: (503) 575-5130

Specialties

Specialty Code Primary License
Counselor - School 101YS0200X Yes 529810 (OR)

Frequently Asked Questions

NPI 1336017896 is the National Provider Identifier for CRISSY PHOMMACHACK, a Counselor - School provider located in Happy Valley, OR. This NPI was enumerated on October 27, 2025.
CRISSY PHOMMACHACK practices at 14843 SE PARKLANE DR APT 146, Happy Valley, OR 97015.

Quick Facts

NPI
1336017896
Type
Individual
Enumerated
Oct 27, 2025
Last Updated
Oct 27, 2025

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