Individual
JESSICA L STACHYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1347
(541) 868-9430
(541) 868-9450
Mailing address
1 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1347
(415) 868-9430
(541) 868-9450
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO183523
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO183523
MEDICAL LICENSE
OR
Enumeration date
04/11/2013
Last updated
05/13/2021
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