Individual
DR. STACEY LYNNE RAFFETY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NE LAC
Contact information
Practice address
11930 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 639-1712
(971) 249-0319
Mailing address
11930 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 639-1712
(971) 249-0319
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0855
OR
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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