STACEY MARTIN

PORTLAND, OR
NPI1982186946
Former NameSTACEY ZIEGENHAGEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-09-05
Last Update Date2020-09-23
Business Address
STACEY MARTIN
3036 NE MLK JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2500
Mailing Address
STACEY MARTIN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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