SHELLY NICHOLE STAFFORD

SALEM, OR
NPI1285240143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-09-16
Last Update Date2022-09-30
Business Address
SHELLY NICHOLE STAFFORD
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0200
Phone number: 503-390-5637
Mailing Address
SHELLY NICHOLE STAFFORD
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0200
Phone number: 503-390-5637