SCOTT STACEY

REDMOND, OR
NPI1467988345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  17-CRM-081)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
-- SCOTT STACEY CRM
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
Mailing Address
-- SCOTT STACEY CRM
461 NE GREENWOOD AVE
BEND, OR 97701-4607
Phone number: 541-617-7365
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