Individual
HEIDI STACHELRODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(503) 866-9271
(971) 386-1281
Mailing address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(503) 866-9271
(971) 386-1281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10997
OR
Other
Enumeration date
05/18/2007
Last updated
04/11/2023
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