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1154639516
STACY LYNN MEDINA
OREGON CITY, OR
NPI
1154639516
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Former Name
STACY LYNN DICRISTOFANO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 259914)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
Mrs. STACY LYNN MEDINA OTR/L
1680 MOLALLA AVE.
OREGON CITY, OR 97045
Phone number: 503-655-2588
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Mailing Address
Mrs. STACY LYNN MEDINA OTR/L
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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