Individual
KATIE L STOGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12734 SE MILL ST, PORTLAND, OR 97233-1326
(503) 924-1228
Mailing address
1910 NW PETTYGROVE ST APT 201, PORTLAND, OR 97209-1623
(480) 645-4637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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