Individual
SALOMEIA STAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
655 NW BURNSIDE RD, SUITE 6, GRESHAM, OR 97030-3745
(503) 516-7066
Mailing address
141 SE 194TH AVE, PORTLAND, OR 97233-5719
(503) 491-1854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11677
OR
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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