STACY PICKEREL

PORTLAND, OR
NPI1669885786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-06-05
Last Update Date2014-06-05
Business Address
-- STACY PICKEREL
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-780-9284
Mailing Address
-- STACY PICKEREL
PO BOX 941
SANDY, OR 97055-0941
Phone number: 503-780-9284