Individual
RAQUEL STOKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1475 SE 100TH AVE, PORTLAND, OR 97216-2537
(503) 262-6000
Mailing address
1475 SE 100TH AVE, PORTLAND, OR 97216-2537
(503) 262-6000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
OR
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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