STACY MARIE BODLE

PORTLAND, OR
NPI1568816171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  200730013LPN)
Enumeration Date2016-04-20
Last Update Date2016-04-20
Business Address
Mrs. STACY MARIE BODLE LPN
420 NE MASON ST
PORTLAND, OR 97211-3479
Phone number: 506-546-9421
Mailing Address
Mrs. STACY MARIE BODLE LPN
14302 BRITTANY TER
OREGON CITY, OR 97045-7156
Phone number: 503-546-9421