Individual
STACIE ROWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
132 E BROADWAY STE 301, EUGENE, OR 97401-3154
(541) 337-5301
Mailing address
83076 BRADFORD RD, CRESWELL, OR 97426-9846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2587
OR
Other
Enumeration date
11/18/2015
Last updated
11/27/2019
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