Individual
STACI RENAE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2274 SW 2ND ST, MCMINNVILLE, OR 97128-5597
(971) 261-2159
(503) 266-8632
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(971) 261-2159
(503) 266-8632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225X00000X
Occupational Therapist
Primary
41084
OR
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/11/2018
Last updated
07/08/2025
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