Individual
MRS. PAMELA L STAUBER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2744 12TH ST SE, SALEM, OR 97302-3159
(503) 930-3695
(503) 585-3041
Mailing address
2744 12TH ST SE, SALEM, OR 97302-3159
(503) 930-3695
(503) 585-3041
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
7527
OR
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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