Individual
MARIAH STOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
(503) 646-8482
Mailing address
15390 SW MALLARD DR STE 102, BEAVERTON, OR 97007-9434
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC194856
OR
175F00000X
Naturopath
4285
OR
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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