Individual
STANLEY BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
8026 N EDISON ST, PORTLAND, OR 97203-4908
(865) 384-4553
Mailing address
8026 N EDISON ST, PORTLAND, OR 97203-4908
(865) 384-4553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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