Individual
STACEY HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1235 SE DIVISION ST STE 201, PORTLAND, OR 97202-1073
(971) 344-7241
Mailing address
1235 SE DIVISION ST STE 201, PORTLAND, OR 97202-1073
(971) 344-7241
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC202901
OR
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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