Individual
DR. MARC FREDERICK STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
328 W MAIN STREET, SUITE A100, HILLSBORO, OR 97123
(503) 313-0395
(503) 681-4794
Mailing address
328 W MAIN STREET, SUITE A100, HILLSBORO, OR 97123
(503) 313-0395
(503) 681-4794
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1549
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231990
—
OR
Enumeration date
01/17/2007
Last updated
07/08/2007
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