Individual
CARRIE STALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5308 SE RHONE ST, PORTLAND, OR 97206-2962
(503) 775-6885
(503) 775-2451
Mailing address
5308 SE RHONE ST, PORTLAND, OR 97206-2962
(503) 775-6885
(503) 775-2451
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5101
OR
111N00000X
Chiropractor
CH 9597
FL
Other
Enumeration date
11/10/2008
Last updated
08/20/2013
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