Individual
ANN M STAPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2905 NE TILLAMOOK ST, PORTLAND, OR 97212
(503) 781-5653
Mailing address
2905 NE TILLAMOOK ST, PORTLAND, OR 97212-5068
(503) 781-5653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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