KAHLEY MARIEL STANCO

PORTLAND, OR
NPI1689202228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG205503)
Enumeration Date2020-03-30
Last Update Date2021-10-22
Business Address
KAHLEY MARIEL STANCO DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Mailing Address
KAHLEY MARIEL STANCO DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211