STACY LOUISE RICHARDS

PORTLAND, OR
NPI1912370412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  348019)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- STACY LOUISE RICHARDS MOT/R/L
9750 NE GLISAN ST
PORTLAND, OR 97220-4449
Phone number: 503-256-3920
Mailing Address
-- STACY LOUISE RICHARDS MOT/R/L
9750 NE GLISAN ST
PORTLAND, OR 97220-4449
Phone number: 503-256-3920
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