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1851841498
STACEY WINDHAM
PORTLAND, OR
NPI
1851841498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175F00000X Naturopath
(Licence: OR 4022)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- STACEY WINDHAM ND
049 SW PORTER ST
PORTLAND, OR 97201-4848
Phone number: 503-552-1551
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Mailing Address
-- STACEY WINDHAM ND
14635 SW QUAIL LN APT N103
BEAVERTON, OR 97007-7670
Phone number: 513-313-1494
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