Individual
STACY GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 MCGILCHRIST ST SE, SALEM, OR 97302-1691
(971) 304-2200
Mailing address
1156 MANZANITA WAY NE, KEIZER, OR 97303-3545
(503) 969-3079
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A5837
OR
Other
Enumeration date
09/16/2020
Last updated
03/23/2023
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