Individual
JASON STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
20055 SW PACIFIC HWY STE 110, SHERWOOD, OR 97140-9294
(503) 625-1691
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63949
OR
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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