AUGUST STUPPY

PORTLAND, OR
NPI1245935444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG215530)
Enumeration Date2023-04-05
Last Update Date2023-04-05
Business Address
AUGUST STUPPY DO
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266-2954
Phone number: 503-215-9850
Mailing Address
AUGUST STUPPY DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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