Individual
STANLEY UCHENNA OLEMGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12375 SW HALL BLVD, APT 11, TIGARD, OR 97223-6235
(503) 238-0769
Mailing address
12375 SW HALL BLVD, APT 11, TIGARD, OR 97223-6235
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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