Individual
MISHA NOELLE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 585-4908
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 585-4949
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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