Individual
MEGAN STALLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2120 EXCHANGE ST, ASTORIA, OR 97103-3365
(503) 325-0241
Mailing address
2120 EXCHANGE ST, ASTORIA, OR 97103-3365
(503) 325-0241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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