Individual
MRS. MARLA E. STASIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 712-6863
Mailing address
13160 SW WHITMORE RD, HILLSBORO, OR 97123-9073
(503) 679-6724
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200350067NP
OR
Other
Enumeration date
02/24/2006
Last updated
03/20/2020
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