Individual
STACIA AKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 413-3879
(503) 413-4379
Mailing address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 413-3879
(503) 413-4379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5032
OR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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