Individual
MRS. SALLY ALICE STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2135 N HUMBOLDT ST, PORTLAND, OR 97217-3527
(971) 222-5360
Mailing address
2135 N HUMBOLDT ST, PORTLAND, OR 97217-3527
(971) 222-5360
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
233980
OR
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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