Individual
FERNANDO STOCKFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 NE MULTNOMAH ST APT 233, PORTLAND, OR 97232-3648
(619) 581-4561
Mailing address
1710 NE MULTNOMAH ST APT 233, PORTLAND, OR 97232-3648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26255
OR
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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