Individual
ASHLEA ANNE STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 NE 162ND AVE BLDG F, PORTLAND, OR 97230-5765
(503) 408-5024
Mailing address
832 NE 162ND AVE BUILDING F, PORTLAND, OR 97230
(503) 408-5024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/15/2012
Last updated
07/21/2022
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