Individual
STACY HEARST HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
290 WILLAMETTE ST, UMATILLA, OR 97882-6601
(541) 922-6226
Mailing address
PO BOX 1290, ONTARIO, OR 97914-0136
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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