Individual
MANDY STUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, PSS, PWS
Contact information
Practice address
200 SE 7TH AVE, PORTLAND, OR 97214-1200
(503) 235-0131
Mailing address
4615 NE 98TH AVE, PORTLAND, OR 97220-4222
(503) 875-1350
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
24-CRM-2840
OR
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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