PATRICIA STACK SAMPSON

STAYTON, OR
NPI1255834271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
PATRICIA STACK SAMPSON
2340 MARTIN DR STE 103
STAYTON, OR 97383-1672
Phone number: 503-509-5275
Mailing Address
PATRICIA STACK SAMPSON
1732 N 6TH AVE
STAYTON, OR 97383-1236
Phone number: 503-580-9068