ANTHONY STOUDAMIRE

PORTLAND, OR
NPI1235425869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-06-22
Last Update Date2011-06-22
Business Address
-- ANTHONY STOUDAMIRE
3716 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
Mailing Address
-- ANTHONY STOUDAMIRE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581