Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqulyn Lee Crandall

Individual provider Developmental Disabilities Clinic/Center · NPI 1144717752

Jacqulyn Lee Crandall is a Developmental Disabilities Clinic/Center in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876
Phone: (650) 243-9849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1910 Se Currin Dr, Hillsboro, OR 97123-5121 — (503) 830-5376

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X

Record details

NPI number1144717752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2018
Last updated in NPPESApril 18, 2018

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