Provider Demographics
NPI:1093811788
Name:SCHNEIDER, CRYSTAL LEIGH (QMHP)
Entity Type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:LEIGH
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15569 SW SANDS LN
Mailing Address - Street 2:# 123
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-2484
Mailing Address - Country:US
Mailing Address - Phone:503-577-9671
Mailing Address - Fax:
Practice Address - Street 1:230 NE 2ND AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-3074
Practice Address - Country:US
Practice Address - Phone:503-648-0753
Practice Address - Fax:503-648-0755
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health