Individual
JACINTHA PANDORA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
73838 HIGHWAY 331, PENDLETON, OR 97801-6056
(541) 240-8575
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 240-8575
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
115757
OR
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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