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1093260655
STACEY TAYLOR
PORTLAND, OR
NPI
1093260655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 342970)
Enumeration Date
2016-08-23
Last Update Date
2021-07-21
Business Address
STACEY TAYLOR OTR/L
9205 SW BARNES RD PROVIDENCE CHILDREN'S DEVELOPMENT INSTITUTE
PORTLAND, OR 97225-6603
Phone number: 503-216-8019
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Mailing Address
STACEY TAYLOR OTR/L
9205 SW BARNES RD PROVIDENCE CHILDREN'S DEVELOPMENT INSTITUTE
PORTLAND, OR 97225-6603
Phone number:
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