STACIE NICOLE FISH

SALEM, OR
NPI1417536020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OR  C9713)
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2021-04-02
Last Update Date2025-05-06
Business Address
STACIE NICOLE FISH
147 COMMERCIAL ST NE
SALEM, OR 97301-3416
Phone number: 503-589-3122
Mailing Address
STACIE NICOLE FISH
PO BOX 3417
PORTLAND, OR 97208-3417
Phone number:
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